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SRL Mumbai City Price List w.e.

f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CHEMILUMINESCENT 2-8°C (24 hrs);
1 8825 1,25 DIHYDROXY VITAMIN D 4000 SERUM: Fasting prefered 3.0 mL (2.0 mL) 1,3,5: 1300 hrs NEXT DAY
IMMUNOASSAY (CLIA) F ( >24 hrs)

DRY BLOOD SPOT with complete CLINICAL


17-ALPHA HISTORY form including birth date & birth
2-8°C (14
2 3311 HYDROXYPROGESTERONE 1700 ENZYME IMMUNOASSAY time.(Dried Blood spot should be ideally 2.0 NOs (1.0 NOs) 1,4:1100 HRS NEXT DAY
days)
(NEONATAL SCREENING) collected within 3rd and 5th day of life
after birth)

17-ALPHA- SERUM (Age & Gender )+ clinical history 2-8°C (48 hrs);
3 3190 1650 RADIO IMMUNOASSAY 0.5 mL (0.2 mL) 2,4: 1300 hrs SAME DAY
HYDROXYPROGESTERONE applicable F (>48 hrs)

URINE
24 HOURS COLLECTED IN 10 ML CONC HCL
CHROMATOGRAPHY / & REFRIGERATE DURING COLLECTION.( M 2-8°C (15
4 3313 17-KETOSTEROIDS,URINE 3500 20.0 ml (15.0 ml) 6: 1100 hrs SAME DAY
SPECTROPHOTOMETRY ENTION 24 HRS. TOTAL URINE VOLUME O days)
N TRF ALONG WITH PATIENT AGE, GENDER
AND CLINICAL HISTORY DETAILS.)

BIOPSIES SOULD BE FIXED FOR 24-48


HOURS IN 10% BUFFERED FORMALIN &
EMBEDDED IN PARAFFIN. TISSUE SHOULD
BE 4 MICRONS THICK & PLACED ON
5 6027F 1p/19q Deletions, FISH 15000 FISH POSITIVELY CHARGED SLIDES. 3 SLIDES / NOT APPLICABLE A DAILY: 700 HRS 7TH DAY
SAMPLES CONTAINING MALIGNANT
TISSUE. * TIME AND DURATION OF
FIXATION SHOULD BE MENTIONED ON THE
TRF.* clinical details in specified format

1] Require SERUM sample (to be collected


in plain tube not in gel tube) preferably
fasting upto 12-14 hrs.
25 HYDROXY VITAMIN D Refrigerated/F Mon,Wed,Fri at
6 8823L 2500 LCMSMS 2] Doctors Name and Contact details+ 3.0 mL [1.0 ml] Next Day 18:30 Hrs
GOLD, LCMS rozen 10:00Hrs
Clinical history of the patient is mandatory.
3] Sample should to be stored to
refrigerate or freeze immediately.

DAILY (MON TO
2-8°C (48 hrs);
7 8823 25-HYDROXY VITAMIN D 1500 CHEMILUMINESCENCE SERUM: Fasting not mandatory 1.0 mL (0.2 mL) SAT): 0500, 1430, SAME DAY
F (>48 hrs)
1600 hrs
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

24HRS URINE TO BE STRICTLY COLLECTED


IN 15ML OF 6N HCL. * WHILE COLLECTING
24HRS URINE SPECIMEN, THE CONTAINER
SHOULD BE KEPT IN DARK THROUGHOUT
THE COLLECTION. TO AVOID EXPOSURE TO
LIGHT, THE 20ML ALIQUOT FROM THE
COLLECTED 24HRS URINE SAMPLE HAS TO
BE WRAPPED IN ALUMINUM FOIL.DO NOT
CONSUME AVOCADOS, BANANAS,COFFEE,
5-HYDROXY INDOLE ACETIC FROZEN
8 9952 3500 ENZYME IMMUNOASSAY PLUMS, PINEAPPLE, TOMATOES, 20.0 ML (10.0 ML) TUESDAY : 1000HRS NEXT DAY
ACID STRICTLY
WALNUTS AS WELL AS SOME
MEDICATIONS(e.g. ASPIRIN,
CORTICOTROPIN, MAO INHIBITORS,
PHENAZETIN, CATECHOLAMINES,
RESERPIN, NICOTIN) 48HRS PRIOR TO THE
COLLECTION OF THE SPECIMEN.MENTION
CLINICAL DETAILS(PATIENT CLINICAL
HISTORY, CT SCAN,USG & MEDICATION OF
THE PATIENT ON THE REQ FORM..

WB- EDTA | WB- HEPARIN | WB / SMEARS 3-4 CC (1CC) / 3-4 CC


9 1674BB ABCD3 3000 FLOW CYTOMETRY + CLINICAL HISTORY(WB to reach within 48 (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
hrs) / 3-4 CC (1CC)
ABO GROUP & RH TYPE, EDTA
10 5100 240 TUBE AGGLUTINATION EDTA WHOLE BLOOD/ SERUM 3 ML EDTA ,PLAIN DAILY SAME DAY
WHOLE BLOOD
ABS EOSINOPHIL COUNT,
11 1262 150 AUTO ANALYSER EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY
EDTA WHOLE BLOOD
DAILY:
ABSOLUTE NEUTROPHIL AUTOMATED CELL COUNTER / 3.0 ML (2.0) ML + 2
12 5110N 120 WB-EDTA + DIRECT BLOOD SMEAR A 12:00,15:30,17:30 SAME DAY
COUNT MICROSCOPY SMEARS
HRS
SERUM (PLEASE SEE TO THAT THE
SPECIMEN REACHES SRL,MUMBAI MONDAY TO
13 0011LS ACETONE, SERUM 800 BIOCHEMISTRY 1.0 ML (0.5ML) FROZEN 3RD DAY
PREFERABLY WITHIIN 24HRS OF SATUDAY 09:00HRS
COLLECTION
URINE -RANDOM URINE WITHOUT 2-8°C (3 days);
14 1336 ACETONE, URINE 800 CHEMICAL ANALYSIS 10.0 ml (5.0 ml) 1,3,5 : 1200 hrs SAME DAY
PRESERVATIVE F (>3 days)

ACETYLCHOLINE RECEPTOR 2-8°C (7 days);


15 1411 4500 RADIO IMMUNOASSAY Serum / EDTA- Plasma 1.0 mL (0.5 mL) 1,3,5: 1100 hrs SAME DAY
AUTOANTIBODIES F (> 7 days)
5.0 ML (1.0 ML) IN
ACID FAST BACILLI CULTURE ( BLOOD/ BONE MARROW INOCULATED IN WK 6 (Or when culture
16 1464BA 1350 BACTEC METHOD MYCO F/ LYTIC A DAILY:1000 HRS
BLOOD & / BONE MARROW) MYCO F LYTIC BACTEC BOTTLE positive)
BACTEC BOTTLE
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
FLUORESCENT STAIN / ZIEHL SMEAR - 48 HOURS,WK 3 &
ACID FAST BACILLI CULTURE: ANY SPECIMEN OF PULMONARY ORIGIN IN
17 1464 950 NEELSEN STAIN & MGIT 960+LJ 3.0 ML (2.0) ML R DAILY: 1000 HRS WK 6 (OR WHEN CULTURE
MGIT STERILE CONTAINER/
CULTURE IS POSITIVE)
ANY SPECIMEN of Non-Pulmonary Origin
FLUORESCENT STAIN / ZIEHL SMEAR - 48 HOURS WK 3
ACID FAST BACILLI CULTURE: (except Blood & Bone marrow) IN STERILE 3.0 ML (2.0) ML / 1
18 1464EP 1350 NEELSEN STAIN & MGIT 960+LJ R DAILY: 1000 HRS & WK 6 (Or when culture
MGIT CONTAINER/ TISSUE IN STERILE NORMAL TISSUE
CULTURE positive)
SALINE / SWABS NOT ACCEPTED

ANY SPECIMEN (EXCEPT


ACID FAST BACILLI CULTURE: FLUORESCENT STAIN / ZIEHL SMEAR - 48 HOURS WK 3
BLOOD/BONEMARROW) IN STERILE 3.0 ML (2.0) ML / 1 DAILY ( MON TO
19 1465 MGIT(WITHOUT 990 NEELSEN STAIN & MGIT 960+LJ R & WK 6 (Or when culture
CONTAINER/ TISSUE IN STERILE NORMAL TISSUE SAT): 1000 HRS
IDENTIFICATION) CULTURE positive)
SALINE /SWABS ARE NOT ACCEPTED
4TH DAY - ONE DAY AFTER
ACID FAST BACILLI SMEAR (3 MICROSCOPY / ZIEHL NEELSEN 3.0ML (0.5 ML)/10.0
20 5320S 700 SPUTUM / URINE R DAILY: 1500 HRS RECEIPT OF THIRD
SAMPLES) STAIN ML (5.0 ML),
SPECIMEN
6TH DAY - ONE DAY AFTER
ACID FAST BACILLI SMEAR (5 MICROSCOPY / ZIEHL NEELSEN 3.0ML (0.5 ML)/10.0
21 5320U 1000 SPUTUM / URINE R DAILY: 1500 HRS RECEIPT OF FIFTH
SAMPLES) STAIN ML (5.0 ML),
SPECIMEN
ANY SPECIMEN (EXCEPT
ACID FAST BACILLI STAIN AND BLOOD/BONEMARROW) IN STERILE SMEAR- 48 HOURS & WK 8
22 2419 1600 CULTURE- LJ 3.0 ML (0.5 ML) R DAILY: 1000 HRS
CULTURE CONTAINER/ TISSUE IN STERILE NORMAL (Or when culture positive)
SALINE /SWABS ARE NOT ACCEPTED

SMEAR - SAME DAY (Or


FLUORESCENT STAIN / ZIEHL
ACID FAST BACILLI, STAIN & 3.0ML (0.5 ML) / after last specimen is
23 1464S 2000 NEELSEN STAIN & MGIT 960+LJ SPUTUM/ URINE- STERILE CONTAINER R DAILY:1500 HRS
MGIT CULTURE (3 SAMPLES) 10.0 ML (5.0 ML) received), WK 3 & WK 6 or
CULTURE
when culture is positive)

SMEAR - SAME DAY (Or


FLUORESCENT STAIN / ZIEHL
ACID FAST BACILLI, STAIN & 3.0ML (0.5 ML) / after last specimen is
24 1464U 2000 NEELSEN STAIN & MGIT 960+LJ SPUTUM/ URINE- STERILE CONTAINER R DAILY:1500 HRS
MGIT CULTURE (5 SAMPLES) 10.0 ML (5.0 ML) received), WK 3 & WK 6 or
CULTURE
when culture is positive)
ACID PHOSPHATASE
SERUM + CLINICAL HISTORY + (AGE &
25 9333 (PROSTATIC) (Only for Walkin 600 SPECTOPHOTOMETRY 2.0 ml (1.0 ml) F 2: 1100 hrs SAME DAY
GENDER IS MANDATORY)
Patient)
ACT PARTIAL THROMBO
26 3895 500 COAGULOMETER FROZEN CITRATE PPP AT -20 C 2 ML BLUE TOP DAILY SAME DAY
PLASTIN TIME(APTT),
F (To be F
FASTING, CITRATED PLATELET POOR
immediately
ACTIVATED PROTEIN C PLASMA* - AT MINUS 20° C *(DOUBLE TWO ALIQOUTS OF WED / SAT
27 5901 4000 CLOT BASED at -20°c & SAME DAY
RESISTANCE CENTRIFUGED PLASMA)* with CLINICAL 1.5 ML EACH 11:00HRS
transported in
HISTORY
dry ice)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CHEMILUMINESCENT 2-8°C (3days),
ACTIVE VITAMIN B12
28 9315 1200 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) > 3 DAYS (- Daily 15.30HRS SAME DAY
(HOLOTRANSCOBALMIN)
(CMIA) 20°C_
ACTN3 GENOTYPING (SPORTS 5 ML (3ML)/ 2
29 9940 4000 PCR-SEQUENCING EDTA WHOLE BLOOD/ BUCCAL SWAB A 5: 0930 HRS 7 DAYS
GENE TEST ) SWABS
ACUTE HEPATITIS VIRUS DAILY: 0730 HRS &
Chemiluminescent Microparticle
EVALUATION I (HCV ABS, HEV 2-8°C (7 days) 1530 HRS, EXCEPT
30 7756 3750 Immunoassay (CMIA) / ENZYME SERUM 3.0 ML (2.0 ML) SAME DAY
IgM, HBsAg, HAV IgM, HBcore ,>7 days -20°C FOR HEV IgM. DAILY
IMMUNOASSAY
IgM) 1130 HRS

DAILY: 0730 HRS &


ACUTE HEPATITIS VIRUS
Chemiluminescent Microparticle 1530 HRS, EXCEPT
EVALUATION II (HCV ABS, HEV 2-8°C (7 days)
31 7755 6000 Immunoassay (CMIA) / ENZYME SERUM 3.0 ML (2.0 ML) FOR HEV IgM. DAILY SAME DAY
IgM / IgG, HBsAg, HAV IgM, ,>7 days -20°C
IMMUNOASSAY 1130 HRS; HEV IgG:
HBeAg, HBeAb)
3:11:30HRS

HSV IgM, CMV IgM--


ACUTE HEPATITIS VIRUS
2-8°C (7 DAYS) -DAILY:03:00 am
EVALUATION III (HSV IgM, Enzyme Linked Immnunosorbent
32 7757 5500 SERUM 3.0 ML (2.0 ML) ,>7 DAYS - HRS; EBV (EA) IgG--- SAME DAY
CMV IgM, EBV (EA) IgG, VZV assay
20°C 2,5:1100 HRS; VZV
IgM)
IgM---3:1100HRS

ACUTE LEUKEMIA PANEL


(CD10,CD19,CD20,CD22,CD3,
CD5,CD7,CD13,CD33,CD34,CD
BM / WB- EDTA | BM / WB- HEPARIN |
117,HLA DR, CD11b, CD16, 3-4 ML (1ML) / 3-4
FLUID-EDTA I FLUID-HEPARIN I BM / WB /
CD45, CD64, CD2, CD56, ML (1ML) / 3-4 ML
33 1608 7000 FLOW CYTOMETRY FLUIDS DIRECT SMEARS + CLINICAL A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CYTOPLASMIC MARKERS (1ML) / 3-4 ML (1
HISTORY (MANDATORY) IN SPECIFIED
(CD3, CD79a and MPO, CD1a, ML)
FORMAT
CD4, CD8, CD14, CD15 ) WILL
BE DONE IF REQUIRED FOR
DIAGNOSIS)
ACUTE LYMPHOBLASTIC
BM / WB- EDTA | BM / WB- HEPARIN |
LEUKEMIA PANEL 3-4 ML (1ML) / 3-4
FLUID-EDTA I FLUID-HEPARIN I BM / WB /
(CD3,CD4,CD5,CD7,CD8,CD10, ML (1ML) / 3-4 ML
34 1606 11500 FLOW CYTOMETRY FLUIDS DIRECT SMEARS + CLINICAL A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CD19,CD20,CD22,CD34,CD45, (1ML) / 3-4 ML (1
HISTORY(MANDATORY) IN SPECIFIED
IgM, HLA-DR, CD33, CD2, ML)
FORMAT
CD56, CD1a)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ACUTE MYELOID LEUKEMIA
(AML) PANEL (CD7, CD19,
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 ML (1ML) / 3-4
CD13, CD14, CD15, CD33,
FLUID-EDTA I FLUID-HEPARIN I BM / WB / ML (1ML) / 3-4 ML
35 1047 CD34, CD117, CD41, CD45, 10500 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS DIRECT SMEARS + CLINICAL (1ML) / 3-4 ML (1
CD61, GLYCOPHORIN A, HLA-
HISTORY (MANDATORY) ML)
DR, CD11b, CD16, CD64,
CD56)
BONE MARROW OR WB SODIUM HEPARIN
SPECIMEN TO REACH US WITH 48 HRS +
ACUTE PROMYELOCYTIC CLINICAL HISTORY [PLEASE MENTION THE
36 5840 4800 KARYOTYPE CELL CULTURE 4.0 ML (3.0 ML) A DAILY: 7.00 HRS 12 WORKING days
LEUKEMIA (APL) CLINICAL HISTORY, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]

TISSUE IN 10%FORMALIN / PARAFIN


ADENOCARCINOMA V/S
BLOCK (Site of biopsy & Clinical details
37 Z217 MALIGNANT MESOTHELIOMA 6900 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
mandatory)MANDATORY IF TISSUE RECD.
(CEA, EMA, VIMENTIN, LWCK)
TISSUE PROCESSING WILL BE CHARGED

SERUM, PLEURAL FLUID, ASCITIC


FLUID/PERITONEAL FLUID, CSF,
1.0 (0.5) ml, 2.0 (1.0)
ADENOSINE DEAMINASE PERICARDIAL FLUID, SYNOVIAL FLUID &
38 3131 1100 SPECTROPHOTOMETRY ml, 2.0 (1.0), 2.0 F DAILY: 1200 hrs SAME DAY
(ADA) OTHER BODY FLUIDS (EXCEPT URINE,
(1.0) ml, 2.0 (1.0) ml
'SPUTUM, STOOL,SEMENS & MENSTRUAL
BLOOD). + CLINICAL HISTORY

2-8°C (5 days);
Enzyme Linked Immnunosorbent
39 9921I ADENOVIRUS IgG 1700 SERUM 0.50 ML (0.25 ML) -20°C (>5 1ST FRI: 1030 HRS SAME DAY
assay
days)

2-8°C (5 days);
Enzyme Linked Immnunosorbent
40 9924I ADENOVIRUS IgM 1700 SERUM 0.50 ML (0.25 ML) -20°C (>5 1ST FRI: 1030 HRS SAME DAY
assay
days)
SWABS: (ORAL, EYE, NASAL) /
41 7589 ADENOVIRUS PCR 4500 POLYMERASE CHAIN REACTION 1.0 (0.5) ML A 2, 4 :1000 HOURS 4, 6 : 1800 HRS
RESPIRATORY FLUIDS
ADRB2 GENOTYPING FOR B-2-
42 9938RD 3400 PCR-SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3 ML) A 1: 0930 HRS 7 DAYS
AGONIST RESPONSIVENESS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

24HRS URINE (Preservative:15 - 20ML 6N


HCL) . (The patient should not consume
Vitamin B, COFFEE AND BANANAS, 48hrs
prior to the collection of the specimen.It is
advisable to discontinue all medications,
alpha methyldopa, MAO & COMT
Inhibitors as well as medications related to
Hypertension should be discontinued
F FROZEN WEDNESDAY :
43 9951U ADRENALIN URINE 3600 ENZYME IMMUNOASSAY atleast 72 hrs prior to specimen 10.0 ML NEXT DAY
STRICTLY 1000HRs
collection.If medications takenshould be
STrictly on the advise of the referring
physician, the same should be
mentioned.Please freeze the specimen
immediately after collection. CLINICAL
DETAILS(Patient's clinical history, CT SCAN
, USG & MEDICATION MANDATORY)
mention 24 hrs urine volume

THE BLOOD SAMPLE (EDTA) SHOULD BE


STORED AT 2-8 DEGREE CELCIUS UNTIL
CENTRIFUGED TO SEPARATE THE PLASMA
WITHIN 2HOURS AFTER BLOOD
COLLECTION.DO NOT CONSUME VITAMIN
B ,COFFEE, BANANAS, ALPHA -
METHYDOPA,MOA AND COMT F FROZEN WEDNESDAY :
44 9951P ADRENALIN, PLASMA 3500 ENZYME IMMUNOASSAY 2.0 ML (1.0 ML) NEXT DAY
INHIBITORSAS WELL AS MEDICATION STRICTLY 1000HRS
RELATED TO HYPERTENSION FOR AT LEAST
72 HRS PRIOR TO THE COLLECTION OF THE
SPECIMEN.MENTION CLINICAL
DETAILS(PATIENT CLINICAL HISTORY, CT
SCAN,USG & MEDICATION) OF THE
PATIENT ON THE REQ FORM..

Plasma-EDTA ( Collect blood into iced


EDTA tubes, noting the time of collection.
ADRENOCORTICOTROPIC The tubes should be immersed in an ice
F (Upto 30 2,4:
45 3102 HORMONE (ACTH) - 1600 CHEMILUMINESCENCE bath following collection. Freeze the 2.0 mL (0.5 mL) SAME DAY
days) 0500,1430,1600 hrs
COMPLETE specimen immediately after separation.
Specimen collected between 6-10 am is
desirable) + Clinical History
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
250ug Synacthen IM/IV 3 Serum Samples
ADRENOCORTICOTROPIC Collected 1/2 hr. apart Basal (before drug) DAILY (MON TO
2-8°C (48 hrs);
46 3103 HORMONE (ACTH) 2600 CHEMILUMINESCENCE , 30min, 60min (Freeze the specimen 1.0 mL (0.5 mL) SAT): SAME DAY
F (>48 hrs)
STIMULATION TEST - 1 HOUR immediately after separation) + Clinical 0500,1430,1600 hrs
History
AEROBIC BLOOD CULTURE - BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (AEROBIC PRELIM. 24 HRS, FINAL 5TH
47 1212 1250 8-10 ML (3.0 ML) A DAILY: 1700 HRS
BACTEC METHOD PLUS ) DAY
AEROBIC CULTURE-
CULTURE + SENSITIVITY BY MIC SCRAPINGS / PUS/ TISSUE IN SALINE- SCRAPINGS / 3.0 ML
48 1221CS ISOLATION & IDENTIFICATION 900 R DAILY: 1700 HRS 3RD DAY
BREAKPOINT STERILE CONTAINER(Swabs not accepted) (0.5 ML)
(Culture + Sensitivity)
BODY FLUID- STERILE CONTAINER /
AEROBIC CULTURE, BODY BACTEC FLUORESCENT PRELIM. 24 HRS, FINAL 5TH
49 1195AP 900 INOCULATED BACTEC BOTTLE (AEROBIC 5.0 ML (2.0 ML) A DAILY: 1700 HRS
FLUID BACTEC METHOD DAY
PLUS )
PURE & MODERATE
AEROBIC SUSCEPTIBILITY
50 1282VGN 1250 BREAKPOINT MIC BY VITEK PURE FRESHLY SUB-CULTURED ISOLATE OBSERVABLE R DAILY: 15:00 HRS 3RD DAY
GRAM NEGATIVE ORGANISM
GROWTH

PURE & MODERATE


AEROBIC SUSCEPTIBILITY
51 1281VGP 1250 BREAKPOINT MIC BY VITEK PURE FRESHLY SUB-CULTURED ISOLATE OBSERVABLE R DAILY: 15:00 HRS 3RD DAY
GRAM POSITIVE ORGANISM
GROWTH

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
52 AM5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Amikacin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
53 CA5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Capreomycin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
54 CI5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Ciprofloxacin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
PURE FRESHLY SUB-CULTURED M. PURE & FRESHLY
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE SUBCULTURED M.
55 CLO5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
CLOFAZIMINE IDENTIFICATION REPORT FROM THE TUBERCULOSIS
REFERRING LAB IS MANDATORY COMPLEX ISOLATE
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
56 ET5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Ethambutol IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
57 EH5654 2600 BACTEC MGIT-960 METHOD R DAILY 1000 HRS 15 DAYS
Ethionamide IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
58 IS5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Isoniazid IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
59 KA5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Kanamycin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
60 LV5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Levofloxacin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
PURE & FRESHLY
AFB SUSCEPTIBILITY : SUBCULTURED M.
61 LZ5654 2600 BACTEC MGIT-960 METHOD CULTURE R DAILY:1000 HRS 15 DAYS
LINEZOLID TUBERCULOSIS
COMPLEX ISOLATE
PURE FRESHLY SUB-CULTURED M. PURE & FRESHLY
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE SUBCULTURED M.
62 MX5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 16 DAYS
MOXIFLOXACIN IDENTIFICATION REPORT FROM THE TUBERCULOSIS
REFERRING LAB IS MANDATORY COMPLEX ISOLATE
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
63 OF5654 2600 BACTEC MGIT-960 METHOD R DAILY 1000 HRS 15 DAYS
Ofloxacin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
64 PA5654 AFB SUSCEPTIBILITY : PAS 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
65 PY5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Pyrazinamide IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
66 RF5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
RIFABUTIN IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
67 RI5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Rifampicin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY : TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
68 ST5654 2600 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
Streptomycin IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
69 1464R2 10500 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
: 10 DRUG PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PURE & FRESHLY
SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
70 1464R3 12500 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
: 13 DRUG PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
71 1464R1 6500 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
: 5 DRUG PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
72 1490 5000 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15 DAYS
: SIRE PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

PURE & FRESHLY


SUBCULTURED M.
PURE FRESHLY SUB-CULTURED M. TUBERCULOSIS
AFB SUSCEPTIBILITY, BACTEC TUBERCULOSIS ISOLATE (ISOLATE COMPLEX ISOLATE
73 5649 6000 BACTEC MGIT-960 METHOD R DAILY:1000 HRS 15TH DAY
: SIREP PANEL IDENTIFICATION REPORT FROM THE (Isolate
REFERRING LAB IS MANDATORY Identification report
from the referring
lab is mandatory)

AFB DRUG SENSITIVITY: MIC PURE FRESHLY SUB-CULTURED RAPID PURE & FRESHLY
TEST FOR RAPID GROWING GROWING NTM ISOLATE (ISOLATE SUBCULTURED
74 1464RGM 10000 MICRO BROTH DILUTION R DAILY:1000 HRS 15 DAYS
NON-TUBERCULOUS IDENTIFICATION REPORT FROM THE isolate of Rapidly
MYCOBACTERIA (NTM) REFERRING LAB IS MANDATORY Growing NTM
SPUTUM (AFB SMEAR POSITIVE)/ BAL (AFB
AFB RAPID GENOTYPIC TEST SMEAR POSITIVE) (SPECIMENS OF
75 9950 (MDR-TB) (Note: This test is 1800 PCR- HYBRIDISATION PATIENTS WITH AFB SMEAR LESS THAN 1+ 3.0 ML (2.0 ML) A/R 1,4:0930 HRS 4,1: 1800 HRS
not applicable for MOTT) ARE NOT ACCEPTABLE) / MTB CULTURE
SPECIMEN
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
AFB SECOND LINE DRUG- SPUTUM / BAL /MTB CULTURE
GENOTYPIC ASSAY (Note: PCR - REVERSE PROBE (SPECIMENS OF PATIENTS WITH AFB
76 9957 6500 5.0 ML ( 3.0 ML) A 1,4:0930 HRS 4,1: 1800 HRS
This test is not applicable for HYBRIDIZATION SMEAR LESS THAN 1+ ARE NOT
MOTT) ACCEPTABLE)
CULTURE/ SPUTUM/ BAL/ PUS + CLINICAL
HISTORY (SPECIMENS OF PATIENTS WITH
77 2402 AFB SPECIATION 3500 PCR - SEQUENCING 5 ML (3ML) A 1:0930 HRS 5: 18:00 HRS
AFB SMEAR LESS THAN 1+ ARE NOT
ACCEPTABLE)
PCR - REVERSE PROBE
78 9956 AFB SPECIATION – COMMON 6500 MTB CULTURE SPECIMEN 1 A 1,4:0930 HRS 4,1: 1830 HRS
HYBRIDIZATION
AFB SPECIATION – EXTENDED PCR - REVERSE PROBE
79 9955 6500 MTB CULTURE SPECIMEN 1 A 1,4:0930 HRS 4,1: 1830 HRS
HYBRIDIZATION
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
80 Z071K AFP 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
ALANINE
81 1347H 220 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
AMINOTRANSFERASE, SERUM
82 1510H ALBUMIN, SERUM 170 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
ALBUMIN+GLOBULIN+A/G
83 1580H 300 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
RATIO, SERUM
SERUM (DO NOT USE SPIRIT SWAB WHILE
COLLECTING BLOOD SAMPLE. THE SERUM
SHOULD BE IMMEDIATELY TRANSFERRED
2-8°C (3 days);
ENZYMATIC/ IN A CAPPED AND SEALED CONTAINER &
84 4105S ALCOHOL (ETHANOL), SERUM 1500 1.0 (0.5) ml F (>3 days - 14 DAILY: 17.00 hrs SAME DAY
SPECTROPHOTOMETRY SHIPPED TO SRL,MUMBAI IN
days)
REFRIGERATED CONDITION).(CLINICAL
HISTORY + AGE & GENDER IS
MANDATORY).
URINE- RANDOM SEND TO SRL MUMBAI
WITHIN 24HRS OF COLLECTION IN A
ENZYMATIC/ 2-8°C (14
85 4105U ALCOHOL (ETHANOL), URINE 2450 CAPPED AND SEALED 15.0 ml (10.0 ml) DAILY: 17.00 hrs SAME DAY
SPECTROPHOTOMETRY days)
CONTAINER.(CLINICAL HISTORY + AGE &
GENDER IS MANDATORY).
SERUM (REFRIGERATED SERUM
SPECIMENS TO REACH SRL MUMBAI
86 1391D ALDOLASE 1300 SPECTROPHOTOMETRY WITHIN 24HRS, OR TO BE SENT FROZEN) 2.0 ml (1.0 ml) F 4: 12:00 HRS SAME DAY
(CLINICAL HISTORY + AGE & GENDER IS
MANDATORY).
SERUM (Age, Gender, Clinical & Treatment
2-8°C (48 hrs);
87 3105 ALDOSTERONE 2000 RADIO IMMUNOASSAY history Required if patient is on 1.0 mL (0.5 mL) 2, 5: 1430 hrs NEXT DAY
F (>48 hrs)
Spirolactone or ACE inhibitors)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ Site of biopsy and Clinical details
88 Z209K ALK-1 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING
ALK-1 COMPANION
DIAGNOSTIC ASSAY FOR LUNG Monday to
89 4632 4800 Ventana immunohistochemistry Paraffin block / Tissue in 10% formalin 1 A 5TH DAY
TUMORS (ALK 1 (D5F3))-CoE Saturday 09:00hrs
Histopath
SERUM (CLINICAL HISTORY, AGE &
ALKALINE PHOSPHATASE
90 9992 6000 ELECTROPHORESIS GENDER IS MANDATORY ). FROZEN 2.0 ml (1.5 ml) 2-8°C(7 days) MON : 1100 hrs 5TH DAY REPORTING
ISOENZYMES
SPECIMEN NOT ACCEPTABLE
ALKALINE PHOSPHATASE 10 -12 HRS FASTING SERUM + (CLINICAL
91 3996 ISOENZYMES (BONE 1700 SPECTROPHOTOMETRY HISTORY + AGE & GENDER IS 1.0 ml (0.8 ml) 2-8°C (7 days) DAILY: 1630 hrs SAME DAY
FRACTION) MANDATORY)
ALKALINE PHOSPHATASE,
92 3930H 170 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
SERUM
ALLERGEN - Acacia Tree 2-8°C (1
Pollen (Latin Name:Acacia ImmunoCAP Specific IgE week); -
93 3111 1400 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
longifolia ; Indian Name: inhouse allergen 20°C (>1
Babool) inhouse allergen week)
2-8°C (1
ALLERGEN - ACTH inhouse ImmunoCAP Specific IgE week); -
94 3255 1400 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - ALMOND ImmunoCAP Specific IgE week); -
95 3101 1400 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - ALTERNARIA
ImmunoCAP Specific IgE week); -
96 3050 ALTERNATA/TENIUS inhouse 1400 SERUM 2.0 ML Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
allergen
week)
2-8°C (1
ALLERGEN - AMOXYCILLIN ImmunoCAP Specific IgE week); -
97 3181 1400 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - AMPICILLIN ImmunoCAP Specific IgE week); -
98 3187 1400 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

ALLERGEN - ANIMAL DANDER


2-8°C (1
PANEL (Cat dander, Horse
ImmunoCAP Specific IgE week); -
99 4073 dander, Cow dander, Dog 2800 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
dander,Rat epithelium,Mouse
week)
epithelium,Pigeon droppings )

2-8°C (1
ALLERGEN - APPLE inhouse ImmunoCAP Specific IgE week); -
100 3210 1400 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
101 3382 ALLERGEN - Ascaris 1400 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - ASPERGILLUS
ImmunoCAP Specific IgE week); -
102 3053 FUMIGATUS inhouse 2100 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
allergen
week)
ALLERGEN - BAINGAN
(ALLERGEN AUBERGINE)
ImmunoCAP Specific IgE 2-8°C (48 hrs),
103 3383 (Common Names:Eggplant 1400 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen F (>48 hrs)
,Brinjal ; Indian
Name:Baingan)
2-8°C (1
ALLERGEN - BANANA ImmunoCAP Specific IgE week); -
104 3087 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN – Barley(Latin ImmunoCAP Specific IgE week); -
105 3094 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name: Hordeum vulgare) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
106 3330 ALLERGEN - BEEF 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - Bermuda Grass 2-8°C (1
Pollen(Latin Name:Cynodon ImmunoCAP Specific IgE week); -
107 3162 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
dactylon ; Indian Name: inhouse allergen 20°C (>1
Dhoobghass) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
108 3335 ALLERGEN - BLUE MUSSEL 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
109 3341 ALLERGEN - BRAZIL NUT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Buckwheat(Latin
ImmunoCAP Specific IgE week); -
110 3355 Name: Fagopyrum 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
esculentum)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
111 3083 ALLERGEN - CABBAGE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - CANDIDA ImmunoCAP Specific IgE week); -
112 3051 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
ALBICANS inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
113 3213 ALLERGEN - CARROT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
114 3056 ALLERGEN - CASEIN 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
115 3085 ALLERGEN - CASHEW 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - CAT ImmunoCAP Specific IgE week); -
116 3047 1400 SERUM 2.0 ML Daily :1100 HRS SAME DAY
DANDER/EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
117 3096 ALLERGEN - CAULIFLOWER 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
118 3360 ALLERGEN - CELERY 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
119 3057 ALLERGEN - CHEESE CHEDDAR 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
MONDAY TO
120 3178 ALLERGEN - CHERRY 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALLERGEN - Chick
Pea(Common Names:
ImmunoCAP Specific IgE 2-8°C (48 hrs),
121 3388 Garbanzo bean, Bengal 1400 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen F (>48 hrs)
Gram;Indian Name:Kabuli
Chana)
2-8°C (1
ALLERGEN - CHICKEN ImmunoCAP Specific IgE week); -
122 3118 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
FEATHERS inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
123 3063 ALLERGEN - CHICKEN MEAT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - CLADOSPORIUM ImmunoCAP Specific IgE week); -
124 3055 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
HERBARUM inhouse allergen 20°C (>1
week)
ALLERGEN - Cocklebur Weed
2-8°C (1
Pollen (Latin Name:Xanthium
ImmunoCAP Specific IgE week); -
125 3153 commune;Indian 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Names:Bichha,Kutta,Chirchitt
week)
a)
2-8°C (1
ImmunoCAP Specific IgE week); -
126 3059 ALLERGEN - COCKROACH 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
127 3108 ALLERGEN - COCOA 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
128 3060 Allergen - Coconut 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
129 3331 ALLERGEN - CODFISH 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
130 3199 ALLERGEN - COFFEE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALLERGEN - Common
2-8°C (1
Ragweed Pollen (Latin
ImmunoCAP Specific IgE week); -
131 3161 Name:Ambrosia elatior;Close 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
to Parthenium-Congress
week)
Grass)
MONDAY TO
ALLERGEN - COMMON REED
132 3166 1400 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R/F SATURDAY 4TH DAY
GRASS
09:00HRS
2-8°C (1
ALLERGEN - Common Silver
ImmunoCAP Specific IgE week); -
133 3117 birch Tree Pollen( Latin 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Name:Betula verrucosa)
week)

ALLERGEN - COMPREHENSIVE
ALLERGY PANEL - ADULT
(Phadia Top Adult, LiST Of
Allergens Include:Milk,
Soybean, Cheese, Almond,
Coconut, Wheat, Egg White,
Chicken, Cod Fish, Shrimp, 2-8°C (1
Tuna, Salmon, ImmunoCAP Specific IgE week); -
134 1404 13000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
D.Ptteronyssinus, D.Farinae, inhouse allergen 20°C (>1
Cockroach, House DuST, week)
Mugwort, English Plantain,
Lambs Quarter, Alder, Birch,
Cat Epithelium, Dog Dander,
Cladoprorium, Aspergillus,
Candida, Sweet Vernal,
Cultivated Rye, Velvet)

2-8°C (1
ImmunoCAP Specific IgE week); -
135 3093 ALLERGEN - CORN 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Cottonwood Tree
ImmunoCAP Specific IgE week); -
136 3390 Pollen (Latin Name: Populus 1400 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
deltoides)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
137 3130 ALLERGEN - COWDANDER 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
138 3068 ALLERGEN - CRAB 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN – Cultivated rye
ImmunoCAP Specific IgE week); -
139 3233 Grass Pollen (Latin 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Name:Secale cereale )
week)
2-8°C (1
ALLERGEN - DOG ImmunoCAP Specific IgE week); -
140 3042 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
DANDER/EPITHELIUM inhouse allergen 20°C (>1
week)
ALLERGEN - DRUG ALLERGY 2-8°C (1
(Amoxycillin, ACTH, Ampicilin, ImmunoCAP Specific IgE week); -
141 3257 4000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Penicilin G, Penicilin V, inhouse allergen 20°C (>1
Insulin) week)
2-8°C (1
ALLERGEN - DRUG ALLERGY
ImmunoCAP Specific IgE week); -
142 4074 PANEL (Amoxycillin,Ampicilin, 3000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Penicilin G, Penicilin V)
week)
ALLERGEN - DUST PANEL 2-8°C (1
(HouseduST- Greer, ImmunoCAP Specific IgE week); -
143 3033 3000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Cockroach, D.Farinae, inhouse allergen 20°C (>1
D.Pteronyssinus) week)
ALLERGEN - ECZEMA/GIT
(Non-veg & Veg) PANEL -
Hollister-Stier Labs.,
Dermatophagoides
pteronyssinus, 2-8°C (1
Dermatophagoides farinae, ImmunoCAP Specific IgE week); -
144 3376 9500 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Blatella germanica,Milk, inhouse allergen 20°C (>1
Wheat, Rice, Soybean, Potato, week)
Onion,Tomato ,Peanuts, Egg
White,Egg yolk, Cod Fish,
Shrimp, Chicken, Mutton
(Lamb)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

ALLERGEN - ECZEMA/GIT
(Veg) PANEL - Hollister-Stier
Labs., Dermatophagoides
pteronyssinus, 2-8°C (1
Dermatophagoides ImmunoCAP Specific IgE week); -
145 3375 5750 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
farinae,Blatella inhouse allergen 20°C (>1
germanica(Cockroach), Milk week)
,Wheat, Rice, Soybean,
Potato, Onion,Tomato ,
Peanuts, ]

2-8°C (1
ImmunoCAP Specific IgE week); -
146 3043 ALLERGEN - EGG WHITE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
147 3076 ALLERGEN - EGG YOLK 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Elm Tree Pollen(
ImmunoCAP Specific IgE week); -
148 3389 Latin Name: Ulmus americana 1400 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
; Indian Name:Papdi Chibil)
week)
ALLERGEN - English plantain 2-8°C (1
Weed Pollen (Latin ImmunoCAP Specific IgE week); -
149 3159 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Plantago lanceolata inhouse allergen 20°C (>1
;Common Name:Ribwort) week)
ALLERGEN - Eucalyptus Tree
ImmunoCAP Specific IgE 2-8°C (48 hrs),
150 3119 Pollen (Indian 1400 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen F (>48 hrs)
Names:Nilgiri,Safeda)
ALLERGEN - Extended Eczema
Panel -
Milk,Wheat,Rice,Peanut,Soya
bean,ChickPea,Cashew
Nut,Coconut,Banana,Brinjal,L
emon,Spinach,Tomato,White 2-8°C (1
Bean,Cod ImmunoCAP Specific IgE week); -
151 3386 10500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
Fish,Shrimp,Chicken,Mutton,E inhouse allergen 20°C (>1
gg week)
White,D.Ptyerossinus,Cockroa
ch,Cat dander, Dog
dander,Cladosporium
herbarum, Aspergillus
fumigatus,
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

ALLERGEN - Extended
Rhinitis/Asthma panel –Adult{
Bermuda Grass, Johnsson
Grass,Meadow Grass,
Cocklebur , Common Pigweed
, Common ragweed,Mugwort,
Goosefoot, Rape Seed, English
2-8°C (1
Plantain, Acacia, Oak,
ImmunoCAP Specific IgE week); -
152 3405 Elm,Cotton Wood ,Eucalyptus, 10500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
Mesquite, Mulberry ,
week)
Alder,Dermatophagoides
farinae, Dermatophagoides
pteronyssinus , Cockroach,Cat
dander, Dog
dander,Cladosporium
herbarum, Aspergillus
fumigatus.

ALLERGEN - Extended
Rhinitis/Asthma panel –Child {
Bermuda Grass, Johnsson
Grass, Cocklebur, Common
Pigweed, Common ragweed,
Mugwort ,Goosefoot, Rape
seed, Oak, Cotton Wood,
Eucalyptus, Mesquite,
Mulberry, Alder,
2-8°C (1
Dermatophagoides
ImmunoCAP Specific IgE week); -
153 3404 pteronyssinus, Cockroach, Cat 10500 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
dander, Dog dander,
week)
Cladosporium herbarum,
Aspergillus fumigatus, Egg
white, Milk, CodFish, Wheat,
Peanut

MONDAY TO
154 3221 ALLERGEN - FIG 1400 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R/F SATURDAY 4TH DAY
09:00HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALLERGEN - FLEXI ALLERGY 2-8°C (1
PANEL - (Select Any 10 ImmunoCAP Specific IgE week); -
155 4012 5750 serum 2.0 ML Daily :1100 HRS SAME DAY
Allergen from available inhouse allergen 20°C (>1
inhouse Allergen list) week)
ALLERGEN - FLEXI ALLERGY 2-8°C (1
PANEL - (Select Any 5 Allergen ImmunoCAP Specific IgE week); -
156 4010 3500 serum 2.0 ML Daily :1100 HRS SAME DAY
from available inhouse inhouse allergen 20°C (>1
Allergen list) week)
ALLERGEN - FLEXI ALLERGY 2-8°C (1
PANEL - 2 ( Select Any 29 ImmunoCAP Specific IgE week); -
157 2109 13000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Allergens from available inhouse allergen 20°C (>1
inhouse Allergen list) week)
ALLERGEN - FLEXI ALLERGY 2-8°C (1
PANEL - 3 (Select Any 19 ImmunoCAP Specific IgE week); -
158 2179 10500 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Allergen from available inhouse allergen 20°C (>1
inhouse Allergen list) week)
ALLERGEN - FOOD PANEL - 2-8°C (1
FRUITS 1 ( Apple, Banana, ImmunoCAP Specific IgE week); -
159 4081 5000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Pear,Peach,Orange,Pineapple, inhouse allergen 20°C (>1
Mango) week)
ALLERGEN - FOOD PANEL - 2-8°C (1
FRUITS 2 ImmunoCAP Specific IgE week); -
160 4087 4000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
(Kiwi,Strawberry,Melon,Peach inhouse allergen 20°C (>1
,Plum,Grapefruit) week)
ALLERGEN - FOOD PANEL -
2-8°C (1
NUTS AND SEEDS ( Peanut,
ImmunoCAP Specific IgE week); -
161 4082 Cashew nut ,Pista, Hazel nut, 3500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Brazil nut, Almond, Coconut
week)
,Sesame seed,Rape seed)

ALLERGEN - FOOD PANEL -


2-8°C (1
VEG 2
ImmunoCAP Specific IgE week); -
162 4083 (Wheat,Rice,Garlic,Tomato,Po 5750 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
tato,Onion,Lemon,Mustard,Se
week)
same seed,Chick pea)
2-8°C (1
ALLERGEN - FOOD PANEL -
ImmunoCAP Specific IgE week); -
163 4085 VEG 3 (Tomato, Yeast, Garlic, 3500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Onion, Celery)
week)
2-8°C (1
ALLERGEN - FOOD PANEL 2
ImmunoCAP Specific IgE week); -
164 3031 (Codfish, Tuna, Shrimp, Blue 3500 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Mussel, Salmon
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - FOOD PANEL 3
ImmunoCAP Specific IgE week); -
165 3074 (Wheat, Oat, Corn, Sesame 4000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Seed, Buck Wheat)
week)
2-8°C (1
ALLERGEN - FOOD PANEL 7
ImmunoCAP Specific IgE week); -
166 3075 (Egg White,Fish, Milk, Rice, 4000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Peanut, Soyabean)
week)
ALLERGEN - FOOD PANEL - 2-8°C (1
LEAFY VEGETABLES ImmunoCAP Specific IgE week); -
167 4090 3000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
(Spinach,Celery,Lettuce,Cabba inhouse allergen 20°C (>1
ge) week)
2-8°C (1
ALLERGEN - FOOD PANEL
ImmunoCAP Specific IgE week); -
168 4084 MEATS 3000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
(Chicken,Mutton,Pork,Beef)
week)
ALLERGEN - FOOD PANEL-
VEGETABLES 2-8°C (1
(Brinjal,Cabbage,Carrot,Caulifl ImmunoCAP Specific IgE week); -
169 4086 5750 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
ower,Green pepper,Corn, inhouse allergen 20°C (>1
Mushroom,Spinach,Tomato,P week)
otato)
ALLERGEN - FOOD PANEL- 2-8°C (1
GRAINS ImmunoCAP Specific IgE week); -
170 4089 5000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
(Rice,Wheat,Corn,Oat,Buckwh inhouse allergen 20°C (>1
eat,Barley,Rye) week)
ALLERGEN - FOOD PANEL- 2-8°C (1
PULSES (Lentil, Chickpea, ImmunoCAP Specific IgE week); -
171 4091 4000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
White bean,Green inhouse allergen 20°C (>1
pea,Soyabean) week)
ALLERGEN - FOOD PANEL- 2-8°C (1
SEAFOOD (Codfish, Tuna, ImmunoCAP Specific IgE week); -
172 4092 5000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Shrimp, Blue Mussel, Salmon, inhouse allergen 20°C (>1
Crab, Lobster) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
173 3064 ALLERGEN - GARLIC 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
174 3065 ALLERGEN - GLUTEN 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - GOAT ImmunoCAP Specific IgE week); -
175 3136 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
EPITHELIUM inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - Golden Rod
ImmunoCAP Specific IgE week); -
176 3354 Weed Pollen (Latin 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Name:Solidago virgaurea)
week)
ALLERGEN - Goosefoot Weed
Pollen (Latin Name: 2-8°C (1
Chenopodium ImmunoCAP Specific IgE week); -
177 3353 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
album;Common Name:Lamb's inhouse allergen 20°C (>1
Quarters ; Indian week)
Name:Bathua )
2-8°C (1
ALLERGEN - Grapefruit (Latin ImmunoCAP Specific IgE week); -
178 3229 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Citrus paradisi ) inhouse allergen 20°C (>1
week)

ALLERGEN - GRASS POLLENS


PANEL (Bermuda 2-8°C (1
Grass,Cultivated rye,Johnson ImmunoCAP Specific IgE week); -
179 4093 5000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Grass,Meadow fescue,Sweet inhouse allergen 20°C (>1
vernal,Timothy Grass,Velvet week)
Grass)

2-8°C (1
ImmunoCAP Specific IgE week); -
180 3058 ALLERGEN - Green PEA 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Green
ImmunoCAP Specific IgE week); -
181 3097 pepper(Latin Name:Piper 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
nigrum)
week)
2-8°C (1
ALLERGEN – Grey alder Tree
ImmunoCAP Specific IgE week); -
182 3349 Pollen (Latin Name: Alnus 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
incana)
week)
2-8°C (1
ALLERGEN - GUINEA PIG ImmunoCAP Specific IgE week); -
183 3127 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
184 3345 ALLERGEN - HAMSTER EPITH 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
185 3340 ALLERGEN - HAZEL NUT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - Hazel Tree Pollen( ImmunoCAP Specific IgE week); -
186 3350 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Latin Name: Corylus avellana) inhouse allergen 20°C (>1
week)
ALLERGEN - MONDAY TO
187 3148 HELMENTHISPORIUM 1400 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R/F SATURDAY 4TH DAY
HALODES 09:00HRS
2-8°C (1
ALLERGEN - Honey Bee
ImmunoCAP Specific IgE week); -
188 3133 Venom (Latin name: Apis 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
mellifera)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
189 3137 ALLERGEN - HORSE DANDER 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - HOUSE DUST ImmunoCAP Specific IgE week); -
190 3044 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
GREER inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - HOUSE DUST ImmunoCAP Specific IgE week); -
191 3379 1400 serum 2.0 ML Daily :1100 HRS SAME DAY
HOLLISTIER inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - House dust mite-
ImmunoCAP Specific IgE week); -
192 3036 Dermatophagoides 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
pteronyssinus
week)
2-8°C (1
ALLERGEN - House dust mite- ImmunoCAP Specific IgE week); -
193 3173 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Dermatophagoieds farinae inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
194 3197 ALLERGEN - INSULIN BOVINE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
195 3256 ALLERGEN – INSULIN HUMAN 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
196 3080 ALLERGEN - INSULIN PORCINE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Japanese Cedar
ImmunoCAP Specific IgE week); -
197 3115 Tree Pollen (Latin 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Name:Cupressus japonica )
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALLERGEN - Johnson Grass 2-8°C (1
Pollen(Latin name:Sorghum ImmunoCAP Specific IgE week); -
198 3164 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
halepense ; Indian Name: inhouse allergen 20°C (>1
Jowar) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
199 3088 ALLERGEN - KIWI FRUIT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
200 3332 ALLERGEN - LAMB (MUTTON) 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Latex( Latin ImmunoCAP Specific IgE week); -
201 3041 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Hevea braziliensis) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
202 3203 ALLERGEN - LEMON 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - Lentil ( Common ImmunoCAP Specific IgE 2-8°C (48 hrs),
203 3373 1400 SERUM 3.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Indian Name: Masur Dal) inhouse allergen F (>48 hrs)
2-8°C (1
ImmunoCAP Specific IgE week); -
204 3200 ALLERGEN - LETTUCE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
205 3336 ALLERGEN - LOBSTER 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Malt (Latin ImmunoCAP Specific IgE week); -
206 3207 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Hordeum vulgare ) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
207 3054 ALLERGEN - MANGO 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Meadow fescue
ImmunoCAP Specific IgE week); -
208 3168 Grass pollen(Latin name: 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Festuca elatior)
week)
ImmunoCAP Specific IgE
209 8127 ALLERGEN - MELALEUCA 1400 Serum from 1 SST 3 mL (2 ml min.) R/F MONDAY 09:00HRS 6 DAYS
inhouse allergen
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
210 3209 ALLERGEN - MELON 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - MesquiteTree 2-8°C (1
Pollen (Latin Name:Prosopis ImmunoCAP Specific IgE week); -
211 3398 1400 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
juliflora ; Indian Name: Pahadi inhouse allergen 20°C (>1
Keekar) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
212 3037 ALLERGEN - MILK 1500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - MOLD PANEL (P.
notatum,C. 2-8°C (1
herbarum,A.fumigatus,C. ImmunoCAP Specific IgE week); -
213 3034 4000 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
albicans,A.tenius,R inhouse allergen 20°C (>1
nigricans,M. week)
racemosus,Trichophyton)
2-8°C (1
ALLERGEN - MOSQUITO ImmunoCAP Specific IgE week); -
214 3129 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
AEDES inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - MOUSE ImmunoCAP Specific IgE week); -
215 3138 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - MUCOR ImmunoCAP Specific IgE week); -
216 3052 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
RACEMOSUS inhouse allergen 20°C (>1
week)
ALLERGEN - Mugwort Weed
2-8°C (1
Pollen (Latin Name: Artemisia
ImmunoCAP Specific IgE week); -
217 3160 vulgaris ;Indian 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Names:Barna,Sita Bani,Bano)
week)
inhouse allergen
2-8°C (1
ALLERGEN - Mulberry Tree
ImmunoCAP Specific IgE week); -
218 3391 Pollen (Latin Name:Morus 1400 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
alba; Indian Name:Shahtoot)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
219 3201 ALLERGEN - MUSHROOM 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
220 3208 ALLERGEN - MUSTARD 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - Nettle Weed 2-8°C (1
Pollen (Latin Name: Urtica ImmunoCAP Specific IgE week); -
221 3157 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
dioica ;Common Name: inhouse allergen 20°C (>1
Stinging Nettle) week)
ALLERGEN - NON VEG PANEL
2-8°C (1
(Chicken Meat, Codfish,
ImmunoCAP Specific IgE week); -
222 1425 Salmon, Tuna, Shrimp, Blue 5000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Mussel,Egg white, Egg yolk,
week)
Lamb)
2-8°C (1
ALLERGEN - Oak Tree Pollen ImmunoCAP Specific IgE week); -
223 3351 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
(Latin Name: Quercus alba) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
224 3219 ALLERGEN - OAT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ImmunoCAP Specific IgE
225 8129 ALLERGEN - OLIVE (FEIA) 1400 Serum from 1 SST 3 mL (2 ml min.) R/F MONDAY 09:00HRS 6 DAYS
inhouse allergen
2-8°C (1
ImmunoCAP Specific IgE week); -
226 3211 ALLERGEN - ONION 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
227 3030 ALLERGEN - ORANGE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)

ALLERGEN - OUTDOOR PANEL 2-8°C (1


(Rye, Sweet Vernal, Golden ImmunoCAP Specific IgE week); -
228 1430 5000 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Rod, English Plantain, Alder, inhouse allergen 20°C (>1
Birch, Lambs Quarter, Nettle) week)

ALLERGEN - PADIATRIC PANEL 2-8°C (1


(EGG WHITE, MILK, ImmunoCAP Specific IgE week); -
229 5006 3500 SERUM 2 ML (1 ML) Daily :1100 HRS SAME DAY
SOYABEAN, WHEAT, HOUSE inhouse allergen 20°C (>1
DUST) week)
MONDAY TO
ALLERGEN - PAPERWASP
230 3132 1400 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R SATURDAY 4TH DAY
VENOM
09:00HRS
MONDAY TO
ALLERGEN - PARIETARIA
231 3158 1400 CHEMILUMINESCENCE SERUM 2.0 ML (1.0) ML A/R/F SATURDAY 4TH DAY
OFFICINALIS
09:00HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ALLERGEN - PARROT ImmunoCAP Specific IgE week); -
232 3135 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
FEATHERS inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
233 3205 ALLERGEN - PEACH 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
234 3077 ALLERGEN - PEANUT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
235 3086 ALLERGEN - PEAR 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
MONDAY TO
236 4009 ALLERGEN - PECAN NUT 1400 CHEMILUMINESCENCE SERUM 1.0ML(0.5ML) R SATURDAY 4TH DAY
09:00HRS
2-8°C (1
ImmunoCAP Specific IgE week); -
237 3195 ALLERGEN - PENICILLIN G 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
238 3188 ALLERGEN - PENICILLIN V 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - PENICILLIUM ImmunoCAP Specific IgE week); -
239 3015 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
NOTATUM inhouse allergen 20°C (>1
week)
ALLERGEN - PHADIATOP 2-8°C (1
ImmunoCAP Specific IgE
240 4430 ADULT (INDIVIDUALS ABOVE 1150 SERUM 4.0 ML (1.0 ML) week); -20°C Daily :1100 HRS SAME DAY
inhouse allergen
5 YEARS) (>1 week)
ALLERGEN - PHADIATOP 2-8°C (1
ImmunoCAP Specific IgE
241 4432 INFANT (INDIVIDUALS BELOW 950 SERUM 4.0 ML (1.0 ML) week); -20°C Daily :1100 HRS SAME DAY
inhouse allergen
5 YEARS) (>1 week)
ALLERGEN - Pigweed Pollen 2-8°C (1
(Latin Name: Amaranthus ImmunoCAP Specific IgE week); -
242 3385 1400 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
retroflexus;Indian inhouse allergen 20°C (>1
Names:Kaantewali Chauli) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
243 4050 ALLERGEN - PINE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
244 3081 ALLERGEN - PINEAPPLE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
245 3202 ALLERGEN - PISTACHIO 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
246 3227 ALLERGEN - PLUM 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
247 3333 ALLERGEN - PORK 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
248 3107 ALLERGEN - POTATO 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Pumpkin ImmunoCAP Specific IgE week); -
249 3237 1400 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
250 3329 ALLERGEN - RABBIT APITH 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - Rape 2-8°C (1
Seed(Common Names:Canola, ImmunoCAP Specific IgE week); -
251 3400 1400 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
Oilseed Rape; Indian Name: inhouse allergen 20°C (>1
Sarson) week)
2-8°C (1
ImmunoCAP Specific IgE week); -
252 3144 ALLERGEN - RAT EPITHELIUM 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Red Kidney Beans ImmunoCAP Specific IgE week); -
253 3239 1400 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
inhouse allergen inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

ALLERGEN -
RHINITIS/ASTHMA INDOOR
INHALANTS PANEL 2-8°C (1
(Aspergillus,Mucor,Alternaria ImmunoCAP Specific IgE week); -
254 1428 5750 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Candida, House Dust, inhouse allergen 20°C (>1
D.Farinae, D.Pteronyssinus, week)
Cockroach, Cat Epithelium,
Dog Dander)

ALLERGEN -
RHINITIS/ASTHMA PANEL -
Ambrosia elatior(Common
Ragweed), Penicillium
notatum, Aspergillus
fumigatus, Mucor racemosus, 2-8°C (1
Candida albicans(yeast), ImmunoCAP Specific IgE week); -
255 3377 5750 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Dermatophagoides inhouse allergen 20°C (>1
farinae(House dust mite), week)
Dermatophagoidespteronyssi
nuse(House dust mite), Greer
labs(house dust), Hollistier-
Stier labs(House dust),
Blatella germanica(Cockroach)

2-8°C (1
ALLERGEN - RHIZOPUS ImmunoCAP Specific IgE week); -
256 3145 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
NIGRICANS inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
257 3038 ALLERGEN - RICE 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - RYE(Latin ImmunoCAP Specific IgE week); -
258 3347 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
Name:Secale cereale) inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
259 3343 ALLERGEN - SALMON 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
260 3092 ALLERGEN - SESAME SEED 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
261 3067 ALLERGEN - SHRIMP 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
262 3169 ALLERGEN - SILK 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
263 3061 ALLERGEN - SOYBEAN 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
264 3225 ALLERGEN - SPINACH 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
265 3106 ALLERGEN - STRAWBERRY 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Sweet vernal
ImmunoCAP Specific IgE week); -
266 3346 grass(Latin Name: 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
Anthoxanthum odoratum)
week)
2-8°C (1
ALLERGEN - SWINE ImmunoCAP Specific IgE week); -
267 3122 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
EPITHELIUM inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Timothy Grass
ImmunoCAP Specific IgE week); -
268 3167 Pollen( Latin Name:Phleum 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
pratense )
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
269 3212 ALLERGEN - TOMATO 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - TREE POLLENS
2-8°C (1
PANEL
ImmunoCAP Specific IgE week); -
270 4095 (Acacia,Eucalyptus,Elm,Mesqu 4500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
ite,Mulberry,Cottonwood,Co
week)
mmon Silver Birch)
2-8°C (1
ImmunoCAP Specific IgE week); -
271 3141 ALLERGEN - TRICHOPHYTON 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (1
ImmunoCAP Specific IgE week); -
272 3342 ALLERGEN - TUNA 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - Vanilla inhouse ImmunoCAP Specific IgE week); -
273 4433 1400 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
allergen inhouse allergen 20°C (>1
week)
ALLERGEN - VEG PANEL 2-8°C (1
(Almond, Wheat, Coconut, ImmunoCAP Specific IgE week); -
274 1414 5750 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Corn, Peanut, Sesame Seed, inhouse allergen 20°C (>1
Cheese, Milk) week)
2-8°C (1
ALLERGEN - Velvet Grass
ImmunoCAP Specific IgE week); -
275 3348 Pollen (Latin Name:Holcus 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
lanatus)
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
276 3098 ALLERGEN - WALNUT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
ALLERGEN - WEED POLLENS
2-8°C (1
PANEL (Common
ImmunoCAP Specific IgE week); -
277 4096 Ragweed,Cocklebur,Goosefoo 4500 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
t,Mugwort,Pigweed,Nettle,Go
week)
ldenrod,,English plantain)
2-8°C (1
ImmunoCAP Specific IgE week); -
278 3039 ALLERGEN - WHEAT 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ImmunoCAP Specific IgE week); -
279 3091 ALLERGEN - WHITE BEAN 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
week)
2-8°C (1
ALLERGEN - White PineTree
ImmunoCAP Specific IgE week); -
280 3402 Pollen (Latin Name:Pinus 1400 SERUM 4.0 ML (1.0 ML) DAILY: 1100 HRS SAME DAY
inhouse allergen 20°C (>1
strobus)
week)
2-8°C (1
ALLERGEN - Willow Tree
ImmunoCAP Specific IgE week); -
281 3352 Pollen (Latin Name:Salix 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
inhouse allergen 20°C (>1
caprea)
week)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ALLERGEN - Yeast (Latin 2-8°C (1
name: Saccharomyces ImmunoCAP Specific IgE week); -
282 3090 1400 SERUM 4.0 ML (1.0 ML) Daily :1100 HRS SAME DAY
cerevisiae , Common Names: inhouse allergen 20°C (>1
Baker's yeast,Brewer's yeast) week)
MONDAY TO
283 4008 ALLERGEN -APRICOT 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
2-8°C (1
ALLERGEN -Papaya inhouse ImmunoCAP Specific IgE week); -
284 3236 1400 SERUM 1.0 Ml (0.5 ml) Daily :1100 HRS SAME DAY
allergen inhouse allergen 20°C (>1
week)
MONDAY TO
285 3366 ALLERGEN-BASIL 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
286 9310 ALLERGEN-BAY LEAF 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
287 3342I ALLERGEN-BLACK PEPPER 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
288 3341I ALLERGEN-CHILLI PEPPER 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS

ALLERGEN-COMPREHENSIVE
ALLERGY PANEL - INFANCY
(Phadia top infant, Individual
Allergens: Milk, Soybean,
Peanut,(Egg Yolk), Almond, 2-8°C (1
Wheat, Corn, Cat Epithelium, ImmunoCAP Specific IgE week); -
289 1408 10500 SERUM 5.0 ML (3.0 ML) Daily :1100 HRS SAME DAY
Dog Dander, Rabbit inhouse allergen 20°C (>1
Epithelium, Rye, English week)
Plantain, D. Pteronyssinus, D.
Farinae, House DuST,
Cockroach, Aspergillus,
Candida, Caesin, Potato)

MONDAY TO
290 3365 ALLERGEN-FENNEL 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
291 9312 ALLERGEN-GINGER 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
ALLERGEN-LIDOCAINE
292 9327 1400 Immunocap SERUM 3.0ML(2.0ML) FROZEN SATURDAY 3 DAYS
ANAESTHESIA (SERUM)
09:00HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
MONDAY TO
293 9307 ALLERGEN-OREGANO 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
294 9308 ALLERGEN-PAPRIKA 1400 CHEMILUMINSCENCE SERUM 2.0ML(1.0ML) R/F SATURDAY 4 DAYS
09:00HRS
MONDAY TO
295 9309 ALLERGEN-PARSLEY 1400 CHEMILUMINSCENCE SERUM SERUM R/F SATURDAY 4 DAYS
09:00HRS
ALPHA THALASSEMIA
MULTIPLEX DNA POLYMERASE
296 2479 MUTATION DETECTION (α3.7, 3500 EDTA WHOLE BLOOD+CLINICAL HISTORY 5 ML (3 ML) A 3: 0930 HRS 8 DAYS
CHAIN REACTION
α4.2, αFIL, αSEA, αTHAI )
Alpha-1 Antitrypsin,
297 RD1433 7000 PCR-SEQUENCING EDTA WHOLE BLOOD+CLINICAL HISTORY 5 ml Ambient 2: 0930 HRS 7 DAYS
Genotyping
2-8°C (7
DAYS); F (>7 -
10 -12 HRS FASTING SERUM + (CLINICAL
90 DAYS, IF F
298 1512D ALPHA-1-ANTITRYPSIN 2200 NEPHELOMETRY HISTORY + AGE & GENDER IS 2.0 ML (1.0 ML) 4: 1630 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
299 Z072K ALPHA-1-ANTITRYPSIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
2-8°C (72 hrs); DAILY (MON TO
ALPHA-FETOPROTEIN / LIVER
300 3109 900 CHEMILUMINESCENCE SERUM ( Age+Gender+Clinical History ) 2.0 mL (0.5 mL) F (> 72 hrs - SAT): SAME DAY
CANCER MONITOR
15 Days) 0500,1430,1600 hrs

24 HR URINE IN METAL FREE JERRY CAN


AVAILABLE FROM SRL (NO PRESERVATIVE).
2-8°C (5
GFAAS WITH ZEEMAN AFTER SHAKING THE CAN TAKE ALQUOT
301 9148U24 ALUMINIUM, 24 HR URINE 2500 10-20 ML (5 ML) DAYS); F “3”, 11:30 HRS NEXT DAY
CORRECTION (10-20 ml) URINE IN METAL FREE
(>5 -30 DAYS)
SCINTILLATION WHITE BOTTLE AVAILABLE
FROM SRL (NO PRESERVATIVE).
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

2-8°C (7
DAYS);
SENDING
COLLECT WHOLE BLOOD IN SPECIAL TRACE WHOLE
GFAAS WITH ZEEMAN ELEMENT BD, K2 EDTA VACCUTAINER BLOOD
302 9148 ALUMINIUM, PLASMA 2700 2.0 ML (1 ML) “6”, 11:30 HRS 3 rd DAY
CORRECTION AVAILABLE FROM SRL DO NOT SEPERATE SAMPLES
PLASMA UNDER COLD
CONDITIONS
(2-8°C) IS
MANDATORY

SPOT URINE IN METAL FREE (10-20 ML)


SCINTILLATION WHITE BOTTLE AVAILABLE 2-8°C (5
GFAAS WITH ZEEMAN
303 9148U ALUMINIUM, URINE SPOT 2500 FROM SRL (NO PRESERVATIVE). 10-20 ML (5 ML) DAYS); F “3”, 11:30 HRS NEXT DAY
CORRECTION
VACCUTAINER COLLECTION WILL NOT BE (>5 -30 DAYS)
ACCEPTED
2-8°C (3
AMA (ANTI MITOCHONDRIAL
DAYS);
ANTIBODIES) WITH TITRE
304 1102 1800 IMMUNO FLUORESCENT ASSAY SERUM 2.0 ML -20°C (>3 3,6: 1100 HRS SAME DAY
(Reflex to end titre to all
DAYS OR
positive cases)
SHIPPED)
2-8°C (24HRS), DAILY: 5:00 HRS &
305 1705R AMH / MIS, SERUM 2000 CLIA SERUM 2.0 ML (1.0 ML) SAME DAY
F (> 24 HRS) 19:00 HRS
2-8°C (24 hrs),
306 4501M AMH PLUS 2600 CLIA SERUM 3.0ML F (> 24 DAILY:12.30 HRS SAME DAY
hrs)
AMINO ACID QUALITATIVE MONDAY TO
307 9298 4000 Thin layer chromatography (TLC) SERUM 3.0ML(2.0ML) FROZEN 8 days
SCREEN SERUM SATUDAY 09:00HRS
Instruction:
1. Specimen requirement : 4.0 ml
Method : Capillary Gas MONDAY 09:00HRS
Heparinized Plasma (Reqd. Clinical
308 4631 AMINO ACIDS, PLASMA 7500 Chromatography Mass 3.0ML(4.0ML) FROZEN TO FRIDAY 8 DAYS
History, Age & Gender of the patient)
Spectrometry 09:00HRS
2. Transport & Storage temperature :
Frozen
Instruction:
1. Specimen requirement :
a. 20.0 ml Urine aliquot from 24hrs urine
sample, in sterile container (Reqd. Clinical MONDAY 09:00HRS
Capillary Gas Chromatography
309 4631U24 AMINO ACIDS,24HRS URINE 8250 History, Age & Gender of the 20.0ML(10.0ML) FROZEN TO FRIDAY 8 DAYS
Mass Spectrometry
patient).Mention 24hrs urine volume on 09:00HRS
the request form
2. Transport & Storage temperature :
Frozen
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
Instruction:
1 Specimen requirement :
a. 20.0 ml random urine sample, in sterile MONDAY 09:00HRS
AMINO ACIDS,RANDOM Gas Chromatography Mass
310 4631U 8250 container (Reqd. Clinical History, Age & 20.0ML(10.0ML) FROZEN TO FRIDAY 8 DAYS
URINE Spectrometry
Gender of the patient). 09:00HRS
2. Transport & Storage temperature :
Frozen
URINE -24 HOURS WITHOUT
PRESERVATIVE & REFRIGERATE DURING
COLLECTION. TO PROTECT FROM LIGHT,
ION EXCHANGE THE URINE SPECIMEN NEEDS TO BE 2-8°C
AMINOLEVULINIC ACID,URINE
311 9975U24 3100 CHROMATOGRAPHY COLLECTED IN A DARKED COLOURED 20.0 ML (15.0 ML) (4DAYS); F (1 3, 11:00 HRS NEXT DAY
24 hrs
/SPECTROPHOTOMETRY BOTTLE. ( MENTION 24 HRS. TOTAL URINE MONTH)
VOLUME ON TRF ALONG WITH PATIENT
AGE, GENDER AND CLINICAL HISTORY
DETAILS.)
RANDOM URINE WITHOUT PRESERVATIVE
& REFRIGERATE DURING COLLECTION.TO
ION EXCHANGE PROTECT FROM LIGHT, THE URINE 2-8°C
AMINOLEVULINIC ACID,URINE
312 9975 5500 CHROMATOGRAPHY SPECIMEN NEEDS TO BE COLLECTED IN A 20.0 ML (15.0 ML) (4DAYS); F (1 3, 11:00hrs NEXT DAY
RANDOM
/SPECTROPHOTOMETRY DARKED COLOURED BOTTLE. ( PATIENT MONTH)
AGE, GENDER AND CLINICAL HISTORY
DETAILS.)
AML with Normal
EDTA WHOLE BLOOD / EDTA BONE
313 9303 Cytogenetics (FLT3, NPM1, 8500 PCR – Sequencing 5ml/2ml A 5; 0930 HRS 7 DAYS
MARROW + CLINICAL HISTORY
CEBPA)
WB OR BONE MARROW - SODIUM
HEPARIN. SPECIMEN TO REACH US
WITHIN 48 HRS AFTER COLLECTION.
314 6008F AMLI / ETO t(8:21) 5600 FISH [PLEASE MENTION THE CLINICAL HISTORY, 4.0 MLOR 3.0 ML A DAILY:7.00 HRS 5TH DAY
BLOOD PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
URINE
315 3844UHD AMYLASE, 24HRS URINE 470 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
316 3844D AMYLASE, SERUM 700 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
2-8°C (3
DAYS);
ANA BY IFA (Reflex to end DAILY:1100, 1530
317 1100 1000 IMMUNO FLUORESCENT ASSAY SERUM 2.0 ML -20°C (>3 SAME DAY
titre for all positive cases) HRS
DAYS OR
SHIPPED)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (3
ANA POSITIVE REFLEX TO EIA DAILY: 1100, 1530
DAYS);
PROFILE (DSDNA with IMMUNO FLUORESCENT ASSAY/ HRS (ANA & Ds- SAME DAY, for ENA:
318 9206RFX 3200 SERUM 2.0 ML -20°C (>3
TITRES,SS-A,SS-B,U1- IMMUNOBLOT DNA) / for ENA Tues/Thurs (1900 hrs)
DAYS OR
SNRNP,SMITH ABS) :4:1000HRS
SHIPPED)
ANAEROBIC BACTERIA PURE CULTURE OF ANAEROBIC ORGANISM
319 5708ID 2550 VITEK 1 A DAILY: 1500 HRS 7TH DAY
IDENTIFICATION IN BACTEC ANAEROBIC BOTTLE
ANAEROBIC CULTURE BLOOD - BACTEC FLUORESCENT INOCULATED BACTEC BOTTLE (ANAEROBIC PRELIM-24 HRS, FINAL 7TH
320 1212NP 1250 8-10 ML (3.0 ML) A DAILY: 1700 HRS
BACTEC METHOD PLUS ) DAY
ANY SPECIMEN IN STERILE CONTAINER
5.0ML (3.0ML), 0.5
ANAEROBIC CULTURE- (TRANSPORT MEDIUM MANDATORY) PRELIM- 3RD DAY; FINAL
321 5708 1200 CULTURE ML (0.2 ML) A DAILY: 1700 HRS
ISOLATION & IDENTIFICATION (URINE,STOOL,SWABS & SPUTUM 7TH DAY
SPECIMEN
SPECIMEN NOT ACCEPTED)

DAILY: 1830 HRS,


EDTA WB :
17:30 HRS FOR
Ambient 2-8°C
CBC, 15:30 HRS FOR
ANC COMBO - ANTENATAL AUTOMATED CELL COUNTER/ (<48 HRS); F
FASTING PLASMA - FLUORIDE, URINE 1.0 ML (0.5 ML), 15 VDRL
PROFILE & TPC (CBC, Blood SPECTROPHOTOMETRY / (> 48 HRS);
FASTING, SERUM FASTING, EDTA (W.B ) + ML (10 ML), 2.0 ML DAILY (MON TO
322 1360 Group, Glucose Fasting, 1650 DIPSTICK & MICROSCOPY/ FLUORIDE SAME DAY
2 SMEARS + (AGE & GENDER IS (1.0 ML), 4.0ML ( 2.0 SAT) ; DAILY: 0730
Urinalysis, HIV 1 & 2, Abs, CHEMILUMINESCENCE PLASMA : 2-
MANDATORY) ML) HRS & 1530 HRS
Hepatitis B,VDRL,TPC) /CMIA/FLOCCULATION 8°C (3 DAYS);
FOR HIV/HEP B ;
URINE : 2-8°C(
0500, 1900 HRS
24 HRS)
FOR TPC

ANCA (ANTI NEUTROPHIL


2-8°C (1
CYTOPLASMIC ANTIBODIES) (P- ANCA
WEEK);
323 1862 ANCA + C-ANCA) WITH TITRE 2400 IMMUNO FLUORESCENT ASSAY SERUM 2 ML DAILY: 1100, 1530 SAME DAY
-20°C
(Reflex to end titre to all HRS
(LONGER)
positive cases)

2-8°C (1
week);
-20°C DAILY:1100, 1530
ANCA POSITIVE REFLEX MPO, IFA /FLUOROENZYME (longer)/ FOR HRS (ANCA),
324 9207RFX 2250 SERUM 2.0 ML SAME DAY
PR3 ANTIBODIES IMMUNOASSAY MPO, PR3 2- 2,5:1330 HRS
8°C (2 DAYS); (MPO, PR3)
-20°C (> 2
DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BLOCKS .Please send Paraffin blocks with
complete clinical history and previous
histopath report(Mandatory) so as to
ANDROGEN RECEPTOR
325 9297 2000 IHC match the site of the tissue UPTO 2 AMBIENT Daily 09:00hrs 8 days
STUDIES
sample/Paraffin Block numbers belongs to
the same patient or not. If not received,
will be created as a problem sample.

FASTING ,SERUM TO BE DRAWN BEFORE


2-8°C (24 hrs); 2,5: 0500,1430,
326 3113 ANDROSTENEDIONE 1800 CHEMILUMINESCENCE 1200 NOON. (AGE+GENDER+CLINICAL 1.0 ML (0.5 ML) SAME DAY
F ( >24 hrs) 1600 hrs
HISTORY REQUIRED )
SPECTROPHOTOMETRY , 5 PART EDTA 4 ML,SERUM 2
327 1068 ANEMIA PROFILE I 1750 WB EDTA+SERUM+SMEAR PURPLE + RED DAILY SAME DAY
AUTOANALYSER ML, SMEAR
SPECTROPHOTOMETRY , 5 PART EDTA 4 ML,SERUM 2
328 1068C ANEMIA PROFILE I 1750 WB EDTA+SERUM+SMEAR PURPLE + RED DAILY SAME DAY
AUTOANALYSER ML, SMEAR
SPECTROPHOTOMETRY , 5 PART
EDTA 4 ML,SERUM 2
329 1069B ANEMIA PROFILE II 1450 AUTOANALYSER ,MANUAL WB EDTA+SERUM+SMEAR PURPLE + RED DAILY SAME DAY
ML, SMEAR
MICROSCOPY
SPECTROPHOTOMETRY , 5 PART EDTA 4 ML, SERUM 2 PURPLE +
330 9112 ANEMIA SCREEN 700 AUTOANALYSER ,MANUAL WB EDTA+ SERUM+ SMEAR+ BLACK TOP ML, WB CITRATE RED+ BLACK DAILY SAME DAY
MICROSCOPY, WESTERGREEN 2ML TOP

ANGIOTENSIN CONVERTING SERUM + (CLINICAL HISTORY + AGE & 2 - 8°C (1


331 3114D 1200 SPECTROPHOTOMETRY 1.0 ML (0.8 ML) DAILY :1830 hrs SAME DAY
ENZYME (ACE) GENDER IS MANDATORY) MONTH)

AUTOMATED CELL COUNTER /


AUTOMATED (PHOTOMETRICAL DAIILY:1100 ;
CAPILLARY STOPPED FLOW DAILY: 1730 HRS
A, FLUORIDE
KINETIC ANALYSIS) / MANUAL SERUM+ EDTA WB + citrate black top for CBC& 1530 HRS
3.0 ML+ 5.0 ML+ 1.0 PLASMA : 2-
(MODIFIED WESTERGREN) / +SMEAR+ FASTING PLASMA - FLUORIDE, for HEPATITIS B
332 9124 ANTENATAL CHECK 750 ML (0.5 ML), 15 ML 8°C (3 DAYS); SAME DAY
SPECTROPHOTOMETRY / URINE FASTING + (AGE & GENDER IS SURFACE ANTIGEN
(10 ML) URINE : 2-8°C(
DIPSTICK & MANDATORY) and HIV 1 & 2 Abs.
24 HRS)
MICROSCOPY/Chemiluminescen test ; DAILY: 1830
t Microparticle Immunoassay HRS,
(CMIA)

EDTA 3ML, SERUM PURPLE+


SPECTROPHOTOMETRY , 5 PART
WB EDTA+ SERUM+ SMEAR+ PLASMA 3ML, PLASMA RED+ GREY+
333 9114A ANTENATAL PANEL 1300 AUTOANALYSER ,MANUAL DAILY SAME DAY
FLOURIDE (F)+ URINE FASTING 3ML, URINE URINE
MICROSCOPY, WESTERGREEN
5ML CONTAINER
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SPECTROPHOTOMETRY , 5 PART
EDTA 3ML,SERUM PURPLE+RED+
AUTOANALYSER ,MANUAL WB
4ML,URINE URINE
334 1359 ANTE-NATAL PANEL 1600 MICROSCOPY ,TUBE EDTA+SERUM+SMEAR+URINE(F)+PLASMA DAILY SAME DAY
5ML,FASTING CONTAINER+
AGGLUTINATION, CLIA, CMIA, FLUORIDE (F)
PLASMA+SMEAR GREY
DIPSTICK, FLOCCULATION

SPECTROPHOTOMETRY , 5 PART
EDTA 3ML,SERUM PURPLE+RED+
AUTOANALYSER ,MANUAL
WB EDTA+ SERUM+ SMEAR+ URINE(F)+ 4ML,URINE URINE
335 1359A ANTE-NATAL PANEL 1500 MICROSCOPY, TUBE DAILY SAME DAY
PLASMA FLUORIDE (F) 5ML,FSATING CONTAINER+
AGGLUTINATION, CLIA,b CMIA,
PLASMA+SMEAR GREY
DIPSTICK, FLOCCULATION
EDTA 3ML, SERUM PURPLE+
SPECTROPHOTOMETRY , 5 PART
WB EDTA+ SERUM+ SMEAR+ PLASMA 3ML, PLASMA RED+ GREY+
336 9114 ANTENATAL SCREEN 1300 AUTOANALYSER ,MANUAL DAILY SAME DAY
FLOURIDE (F)+ URINE FASTING 3ML, URINE URINE
MICROSCOPY, WESTERGREEN
5ML CONTAINER
ANTI - CYCLIC CITRULLINATED 2-8°C (3
FLUOROENZYME
337 3301 PEPTIDE ANTIBODIES (ANTI- 2100 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 1100HRS SAME DAY
IMMUNOASSAY
CCP) (>3 DAYS)
2-8°C (14
ANTI CENTROMERE
338 1202 2700 IMMUNOBLOT SERUM 1.0 ML days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
ANTIBODIES
(>14 days)
PLASMA-EDTA ( DRAW BLOOD FROM
FASTING PATIENT INTO A CHILLED TUBE
ANTI DIURETIC HOROMONE FROZEN: UP
339 8827 5200 RADIO IMMUNOASSAY CONTAINING EDTA, CENTRIFUGE 2.0 ML (1.0ML) 2: 1100 hrs 3rd DAY
(Vasopressin) TO 4 WEEKS
IMMEDIATELY, SEPERATE AND FREEZE THE
SPECIMEN IN A PLASTIC TUBE.)

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
340 3885 ANTI Dnase B 3500 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 3 : 12:00 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)
ANTI EPIDERMAL / SERUM FROM 1 SST. OVERNIGHT FASTING
341 1177I 6000 IMMUNO FLUORESCENT ASSAY 3.0 ML F/R 1,3,5:0900 HRS 5TH DAY
PEMPHIGUS ANTIBODY REQUIRED.
2-8°C (2days);
FLUOROENZYME
342 1287 ANTI GLIADIN IgA ANTIBODIES 2000 SERUM 1.0 ML (0.5 ML) -20°C (>2 4: 1100 HRS SAME DAY
IMMUNOASSAY
days)

2-8°C (2days);
FLUOROENZYME
343 1260 ANTI GLIADIN IgG ANTIBODIES 2000 SERUM 1.0 ML (0.5 ML) -20°C (>2 4: 1100 HRS SAME DAY
IMMUNOASSAY
days)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ANTI GLOMERULAR 2-8°C (2days);
FLUOROENZYME
344 1135I BASEMENT MEMBRANE IgG 1800 SERUM 1.0 ML (0.5 ML) -20°C (>2 4: 1100 HRS SAME DAY
IMMUNOASSAY
ANTIBODIES (ANTI GBM) days)
2-8°C (14
345 1203 ANTI HISTONES ANTIBODIES 2000 IMMUNOBLOT SERUM 1.0 ML days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
ANTI HUMAN TISSUE
TRANSGLUTAMINASE
346 4067 8000 ELISA SERUM 2.0ML(1.0ML) R/F MONDAY 09:00HRS 4 DAYS
ANTIBODY (IgG)

Enzyme Linked Immnunosorbent 2-8°C (48 hrs),


347 3191 ANTI INSULIN ANTIBODIES 2500 SERUM 1.0 (0.5 ML) 5:1100 HRS SAME DAY
assay F (> 48 hrs)
2-8°C
(FEWDAYS);
348 1166 ANTI ISLET CELL ANTIBODY 2650 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3: 1100 HRS SAME DAY
-20°C
(LONGER)
2-8°C
ANTI ISLET CELL ANTIBODY (FEWDAYS);
349 1166T 4000 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3: 1100 HRS SAME DAY
WITH TITRE -20°C
(LONGER)
ANTI NMDA RECEPTOR 2-8°C /
THURSDAY:
350 2244 ENCEPHALITIS IGG 6200 IMMUNO FLUORESCENT ASSAY SERUM OR CSF + CLINICAL HISTORY 2.0 ML REFRIGERATE SAME DAY
1100 HRS
ANTIBODIES D
2-8°C (ONE
WEEK); -
351 1180 ANTI OVARY ANTIBODIES 3300 IMMUNO FLUORESCENT ASSAY SERUM 2.0 ML 2,5; 1100 HRS SAME DAY
20°C
(LONGER)
2-8°C (ONE
ANTI OVARY ANTIBODIES WEEK); -
352 1180T 5600 IMMUNO FLUORESCENT ASSAY SERUM 2.0 ML 2,5; 1100 HRS SAME DAY
TITRES 20°C
(LONGER)
2-8°C
ANTI PARIETAL CELL (FEWDAYS);
353 1101 2200 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3 ,6 : 1100 HRS SAME DAY
ANTIBODY (APCA) -20°C
(LONGER)
2-8°C
ANTI PARIETAL CELL (FEWDAYS);
354 1101T 6000 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3 ,6 : 1100 HRS SAME DAY
ANTIBODY (APCA) WITH TITRE -20°C
(LONGER)
2-8°C (48
ANTI PHOSPHOLIPID IgG Enzyme Linked Immnunosorbent hrs.);
355 1711T 1000 SERUM 1.0 ML (0.5 ML) DAILY: 1100 HRS SAME DAY
ANTIBODIES assay -20°C (>48
hrs.)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (48
ANTI PHOSPHOLIPID IgM Enzyme Linked Immnunosorbent hrs.);
356 1735 1000 SERUM 1.0 ML (0.5 ML) DAILY: 1100 HRS SAME DAY
ANTIBODIES assay -20°C (>48
hrs.)
ANTI PHOSPHOLIPID FASTING, CITRATED PLATELET POOR 1, 3, 5: 1000 HRS
F (To be F LUPUS
SYNDROME PANEL (Lupus PLASMA* - AT MINUS 20° C + SERUM (R) + TWO ALIQUOTS OF FOR LUPUS
immediately ANTICOAGULANTNEXT DAY
Anticoagulant Screen, CLOT BASED & ENZYME CLINICAL HISTORY+ H/O ORAL ANTI 1.5 ML EACH (1.0 ANTICOAGULANT &
357 1080A 4850 at -20°c & & & CARDIOLIPIN &
Cardiolipin IgG & IgM ABS, IMMUNOASSAY COAGULANT (PT. SHOULD BE OFF ML) + 2.0 ML CARDIOLIPIN &
transported in ANTIPHOSPHOLIPID :SAME
Anti-phospholipid IgG & IgM ANTICOAGULATION FOR 7 DAYS) SERUM (1.0 ML) ANTIPHOSPHOLIPID
dry ice) / A DAY
Abs) *(DOUBLE CENTRIFUGED PLASMA)* DAILY: 1100 HRS
ANTI SACCHAROMYCES
FLUOROENZYME
358 1111 CEREVISIAE (ASCA), IgA 2100 SERUM 1.0 ML (0.5 ML) Frozen -20°C) 2: 1100 HRS SAME DAY
IMMUNOASSAY(FEIA)
ANTIBODIES
ANTI SACCHAROMYCES
FLUOROENZYME
359 1108 CEREVISIAE (ASCA), IgG 2100 SERUM 1.0 ML (0.5 ML) F( -20°C) 2: 1100 HRS SAME DAY
IMMUNOASSAY(FEIA)
ANTIBODIES
2-8°C (3
Enzyme Linked Immnunosorbent DAYS); -
360 3303 ANTI SOLUBLE LIVER ANTIGEN 3000 SERUM 1.0 ML (0.5 ML) 4: 1100 HRS SAME DAY
assay 20°C (>3
DAYS)
Enzyme Linked Immnunosorbent
361 5225 ANTI SPERM ANTIBODIES 1500 SERUM 1.0 ML (0.5 ML) F( -20°C) 6:1100 HRS SAME DAY
assay
2-8°C (8
DAYS); F (>8 -
12 -14 HRS FASTING SERUM + CLINICAL
ANTI STREPTOLYSIN-O 90 DAYS, IF F
362 2376D 550 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY : 18:00 HRS SAME DAY
ANTIBODIES (ASO ) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
ANTI THROMBIN III ACTIVITY( PLASMA* - AT MINUS 20° C + CLINICAL TWO ALIQOTS OF 1.5 WED / SAT
363 5951 5500 CHROMOGENIC ASSAY AT -20°C & SAME DAY
Functional) HISTORY*(DOUBLE CENTRIFUGED ML EACH 11:00HRS
TRANSPORTE
PLASMA)
D IN DRY ICE)
CITRATED PLASMA(PLATELET POOR) +
SAT AND WED:
364 5952 ANTI THROMBIN III ANTIGEN 4500 RID METHOD *(DOUBLE CENTRIFUGED PLASMA) + 3 ML (2ML) F 4 DAYS
0900 HRS
CLINICAL HISTORY
ANTI-AQUAPORIN-4 / NMO 2-8°C /
THURSDAY:
365 1000 ANTIBODIES (ANTI 4500 IMMUNO FLUORESCENT ASSAY SERUM/ CSF + CLINICAL HISTORY 2.0 ML REFRIGERATE SAME DAY
1100 HRS
NEUROMYELITIS OPTICA), D
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
ANTIBODIES TO EXTRACTABLE
NUCLEAR ANTIGEN ( SMITH
ABS, U1 SNRP,SS-A (Ro) , SS-B
2-8°C (14
(La), Anti Histone Abs. Anti
366 1236 7600 IMMUNOBLOT SERUM 2.0 ML (1.0 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
Centromere abs, SCL-70
(>14 days)
IGG,JO1 - IGG Abs,PM-Scl
,nucleosomes,ribosomal P-
protein & AMA M2)
2-8°C (1
Anti-ECP (ANTI--EOSINIPHIL WEEK); -
367 4186 1400 ImmunoCAP SERUM 2.0 ML (1.0 ML) Thrusday: 1100 HRS SAME DAY
CATIONIC PROTEIN) 20°C (>1
WEEK)
2-8°C (2days);
ANTI-MPO ANTIBODIES (Anti- FLUOROENZYME
368 1295I 1300 SERUM 1.0 ML -20°C (>2 2,5:1330 HRS SAME DAY
Myleoperoxidase Antibodies) IMMUNOASSAY
days)
2-8°C (14
ANTI-
Enzyme Linked Immnunosorbent DAYS); - Every FRIDAY:11:30
369 4601 PHOSPHOLIPASE A2 RECEPTO 4700 SERUM 1.0 Ml (0.5 ml) SAME DAY
assay 20°C (>14 AM
R (PLA2R) IGG
DAYS)
2-8°C (2days);
FLUOROENZYME
370 1296I ANTI-PR3 ANTIBODIES 1300 SERUM 1.0 ML -20°C (>2 2,5:1330 HRS SAME DAY
IMMUNOASSAY
days)

371 1332 ANTISTREPTOLYSIN O, SERUM 600 LPA SERUM 1 ML RED/GEL DAILY SAME DAY
DAILY (MON TO
ANTI-THYROGLOBULIN 2-8°C (48 hrs);
372 1110 1100 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
ANTIBODIES (aTG) F (>48 hrs)
hrs
ANTI-THYROID PEROXIDASE DAILY (MON TO
2-8°C (48 hrs);
373 3062 ANTIBODIES (aTPO) / 1200 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
F (>48 hrs)
ANTI MICROSOMAL ABS hrs
2-8°C (1
WEEK); -
374 4185 Anti-Tryptase 2000 ImmunoCAP SERUM 2.0 ML (1.0 ML) Thrusday: 1100 HRS SAME DAY
20°C (>1
WEEK)

F (To be F 1, 3, 5: 1000 HRS


FASTING, CITRATED PLATELET POOR
APLA TOTAL (Lupus immediately FOR LUPUS
PLASMA* - AT MINUS 20° C *(DOUBLE TWO ALIQUOTS OF
Anticoagulant Screen, at -20°c & ANTICOAGULANT &
CLOT BASED & ENZYME CENTRIFUGED PLASMA)* + SERUM (R) + 1.5 ML EACH (1.0 SAME DAY & LUPUS NEXT
375 4640 Cardiolipin IgG & IgM Abs, 4850 transported in CARDIOLIPIN -
IMMUNOASSAY CLINICAL HISTORY+ H/O ORAL ANTI ML) + 2.0 ML DAY
Beta 2 Glycoprotein IgG & dry ice) /2-8°C DAILY: 1100 HRS &
COAGULANT (PT. SHOULD BE OFF SERUM (1.0 ML)
IgM Abs) (3 DAYS), B2GP IgG/IgM - 2
ANTICOAGULATION FOR 7 DAYS)
>3DAYS -20°C &5:1100 HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
376 RD1408 APO E GENOTYPING 24000 PCR-SEQUENCING EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML A 2 : 0930 HRS 7 DAYS

2-8°C (8
DAYS); F (>8 -
12 -14 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
377 1899 APOLIPOPROTEIN – E 3800 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 4: 1200 hrs SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (7
DAYS); F (>7 -
12 -14 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
378 1901D APOLIPOPROTEIN A-I 790 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (7
DAYS); F (>7 -
12 -14 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
379 1903D APOLIPOPROTEIN B 790 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (7
DAYS); F (>7 -
APOLIPOPROTEIN 12 -14 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F
380 1900 EVALUATION [Apolipo A-1, 900 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
WITHIN 24
Apolipo B, Lipoprotein (a) ] MANDATORY)
HRS. OF
COLLECTION)

24 HR URINE IN METAL FREE JERRY CAN


AVAILABLE FROM SRL (NO PRESERVATIVE).
24 HRS VOLUME SHOULD BE
COMPULSORILY SPECIFIED . FIRST SHAKE
THE CAN AND TAKE THE 10-20 ML 2-8°C (5 days);
381 9141U24 ARSENIC, 24 HR URINE 3400 HGAAS WITH D2 CORRECTION ALIQUOT IN STERILE PLASTIC URINE 10-20 ML (5 ML) F (> 5 - “4” , 11:30 HRS NEXT DAY
CONTAINER AVAILABLE FROM SRL (10-20 30days)
ml) VACCUTAINER COLLECTION WILL NOT
BE ACCEPTED THE MEASUREMENT OF
URINE VOLUME SHOULD BE DONE BEFORE
ALIQUOTING.
2-8°C (7
GFAAS WITH ZEEMAN IMPROVE/BD, SRL EDTA VACCUTAINER,
382 9141 ARSENIC, BLOOD 3400 5.0 ML (3.0 ML) DAYS); F (> 7 - “4” , 11:30 HRS NEXT DAY
CORRECTION WHOLE BLOOD
30DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
CONTAINER AVAILABLE FROM SRL (10-20
383 9141U ARSENIC, URINE SPOT 3400 HGAAS WITH D2 CORRECTION 10-20 ML (5 ML) DAYS); F (> 5 - “4”, 11:30 HRS NEXT DAY
ml) VACCUTAINER COLLECTION WILL NOT
30DAYS)
BE ACCEPTED

AUTOMATED CELL COUNTER //


AUTOMATED (PHOTOMETRICAL
DAILY:17:30 HRS
CAPILLARY STOPPED FLOW A /SERUM 2-
SERUM + EDTA + citrate black top + 2.0 ML + 3.0 ML + FOR CBC & ESR ;
KINETIC ANALYSIS) / MANUAL 8°C (2 days); F
FASTING URINE + (Age & Sex of the URINE 15.0 ANA DAILY: 1100,
384 1582A ARTHRITIS PANEL 2750 (MODIFIED WESTERGREN) / (>2 days); SAME DAY
patient is mandatory for reporting) + ML(10ML)+2 1530 HRS FOR ASO ;
SPECTROPHOTOMETRY / URINE : 2-8°C(
DIRECT SMEARS SMEARS RF & CRP DAILY -
DIPSTICK & 24 HRS)
18:00 HRS
MICROSCOPY/NEPHELOMETRY/
LPA

AUTOMATED CELL COUNTER


/AUTOMATED
DAILY:12:00, 1530
(PHOTOMETRICAL CAPILLARY
EDTA WB : FOR ASO, 17:30
STOPPED FLOW KINETIC
ARTHRITIS PANEL-1 Ambient HRS FOR CBC/ESR
ANALYSIS) / MANUAL SERUM + WB-EDTA +CITRATE WB BLACK 3.0 ML + 3.0 ML +3.0
(CBC, ESR, Protein A / SERUM 2- DAILY:17:30 HRS,
(MODIFIED WESTERGREN) / SPE TOP + FASTING URINE + SMEAR + CLINICAL ML+ URINE 15.0
385 1576 electrophoresis, CRP, Uric 3000 8°C (2days); F DAILY 18:00 HRS SAME DAY
/ LPA / SPECTROPHOTOMETRY / HISTORY (ESR AT SITE) +(AGE & GENDER IS ML(10ML) + 2
Acid, ANA, ASO, RF & Urine (>2 days); FOR CRP & RF &
IMMUNO FLUORESCENT MANDATORY) SMEARS
routine) URINE : 2-8°C( FOR PROTEIN
ANTIBODY / DIPSTICK /
24 HRS) ELECTROPHORESIS
MICROSCOPY/
DAILY : 12:00 HRS
NEPHELOMETRY/ELECTROPHOR
ESIS)

AUTOMATED CELL COUNTER


/AUTOMATED
EDTA WB :
(PHOTOMETRICAL CAPILLARY DAILY:17:30 HRS
Ambient
STOPPED FLOW KINETIC SERUM + EDTA + FASTING URINE + 3.0 ML + 2.0 ML + FOR CBC & ESR ;
ARTHRITIS PANEL-2 A /SERUM 2-
ANALYSIS) / MANUAL CITRATE WB BLACK TOP + (AGE & GENDER URINE 15.0 ANA DAILY: 1100,
386 1582 (CBC, ESR, CRP, Uric Acid, 2750 8°C (2 days); F SAME DAY
(MODIFIED WESTERGREN) / OF THE PATIENT IS MANDATORY FOR ML(10ML)+ 3.0 1530 HRS FOR ASO ;
ANA, ASO, RF & Urine routine) (>2 days);
SPECTROPHOTOMETRY / REPORTING) + DIRECT SMEARS ML+2 SMEARS RF & CRP DAILY -
URINE : 2-8°C(
DIPSTICK & 18:00 HRS
24 HRS)
MICROSCOPY/NEPHELOMETRY/
IFA/LPA
SPECTROPHOTOMETRY / STERILE
387 5194 ASCITIC FLUID, ROUTINE 700 FLUID 5 ML DAILY SAME DAY
MICROSCOPY CONTAINER
ASKA-SKELETAL
388 1709 (STRIATED)MUSCLE 5800 IMMUNO FLUORESCENE ASSAY SERUM 4.0 ML (2.0ML) R/F MON: 0900HRS 4TH DAY
ANTIBODY,(SERUM IF)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

ASMA (ANTI SMOOTH 2-8°C (3


MUSCLE ANTIBODIES) WITH DAYS); -20°C
389 1106 3100 IMMUNO FLUORESCENT ASSAY SERUM 2 ML 3,6: 1100 HRS
TITRE (Reflex to end titre to (>3 DAYS OR
all positive cases) SHIPPED)
SAME DAY

ASPARTATE
390 1345H 220 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
AMINOTRANSFERASE, SERUM
2-8°C (24
INDIRECT HRS); -
391 2326 ASPERGILLUS ANTIBODIES 2400 SERUM 1.0 ML (0.5 ML) DAILY: 1530 HRS SAME DAY
HAEMAGGLUTINATION 20°C (>24
HRS)
3.0 ML + 5.0 ML (1.0
ML) + 2.0 ML (1.0
ASPERGILLUS FUMIGATES SPUTUM / CSF / FLUIDS / TISSUES +
392 2327 8000 PCR-SEQUENCING ML) + 2.0 ML (1.0 A 1,4:0930 HRS 3,6:1800 HRS
DNA DETECTOR CLINICAL HISTORY
ML) + 1.0 GM (0.5
GM)
393 RD1478 ASS1 GENE MUTATION 45000 PCR-SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3 ML) A 2 : 0930 HRS 15 days
2.0 (1.5) ML + 1.5
DAILY: 07:00 HRS
FASTING, CITRATED PLASMA - AT MINUS (1.0) ML + 3.0 ML + 12 WORKING DAYS,, (WED.
AUTOGEN (Blood Lympho. LUPUS
CELL CULTURE FOR 20° C + SERUM, FOR CHROMOSOMAL 3.0 ML (FOR / SAT. & MON. / THU) FOR
Culture, Lupus Anti Coagulant ANTIOAGULANT - 1,
CHROMOSOMAL ANALYSIS, ANALYSIS WB- SODIUM HEPARIN TO COAGULATION - 3 LUPUS NEXT DAY;
394 DT5102 Screen, Cardiolipin Antibodies 8500 F/A/A/A 3, 5: 1000 HRS,
CLOT BASED & ENZYME REACH US WITHIN 48 HRS + CLINICAL VIALS OF 1ML EACH, CARDIOLIPIN &
& Anti Phospholipid CARDIOLIPIN &
IMMUNOASSAY HISTORY*(DOUBLE CENTRIFUGED OF FROZEN ANTIPHOSPHOLIPID SAME
Antibodies) ANTIPHOSPHOLIPID
PLASMA) CITRATED PLASMA DAY
DAILY: 1100 HRS
AT -20°C
ANA-DAILY:1100,
AUTOIMMUNE HEPATITIS
IMMUNOFLUOROSCENCE 1530 HRS, AMA,
PANEL-1 (ANA, SMA, AMA,
395 1019A 5800 ASSAY/ Enzyme Linked SERUM 2.0 ML R SMA-3,6:1100 HRS SAME DAY
LKM-1)
Immnunosorbent assay & LKM-3,6:1100
HRS
IMMUNOFLUOROSCENCE SLA-4: 1100 HRS &
AUTOIMMUNE HEPATITIS
396 1019B 3600 ASSAY, Enzyme Linked SERUM (R)+ SERUM (F) 2.0 ML+1.5 ML R/F ANCA-DAILY:1100, SAME DAY
PANEL-2 (ANCA , SLA)
Immnunosorbent assay 1530 HRS
TISSUE IN 10%FORMALIN / PARAFIN
B DIFFERENTIAL DIAGNOSIS BLOCK + SITE OF BIOPSY AND CLINICAL
397 Z223 (CD30, CD15, CD45, CD20, 7500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
CD3, EMA) IT WILL BE CHARGED FOR TISSUE
PROCESSING
DAILY (MON TO
B12 PLUS (Vitamin B12+Folic 2-8°C (48 hrs);
398 3524 1620 CHEMILUMINESCENCE SERUM FASTING 3.0 ML (2.0 ML) SAT): SAME DAY
Acid) F (>48 hrs)
0500,1430,1600 hrs
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BACTEC BLOOD CULTURE-
BACTEC FLUORESCENT PRELIM. 24 HRS, FINAL 5TH
399 1212P AEROBIC PAEDIATRIC 1250 INOCULATED BACTEC BOTTLE (PEDS PLUS ) 3.0 ML (1 ML) A DAILY: 1700 HRS
METHOD DAY
CULTURE
BACTEC BLOOD CULTURE - BACTEC FLUORESCENT PRELIM/YEAST- 7TH DAY,
400 1212M 1250 INOCULATED BACTEC BOTTLE (MYCOSIS) 5.0 ML (2.0 ML) A DAILY: 1700 HRS
(YEAST & FUNGI) METHOD FINAL 21ST DAY
BACTEC CULTURE, BODY BACTEC FLUORESCENT BODY FLUID- STERILE CONTAINER / PRELIM/YEAST-7TH DAY,
401 1195M 1250 5.0 ML (2.0 ML) A DAILY: 1700 HRS
FLUID -(YEAST & FUNGI) METHOD INOCULATED BACTEC BOTTLE (MYCOSIS) FINAL 21ST DAY
BODY FLUID- STERILE CONTAINER /
BACTEC PLUS ANAEROBIC - BACTEC FLUORESCENT PRELIM-24 HRS, FINAL 7TH
402 1195NP 1250 INOCULATED BACTEC BOTTLE (ANAEROBIC 5.0 ML (2.0 ML) A DAILY: 1700 HRS
CULTURE, BODY FLUID METHOD DAY
PLUS )
BACTERIAL ANTIGEN (5) CULTURE:PRELIM: SAME
DETECTION IF NEGATIVE BACTEC CULTURE/ LATEX DAY; FINAL 3RD DAY,
403 9208RFX 6000 CSF 2.0 ML (1.0 ML) A DAILY:1530 HRS
REFLEX TO CSF BACTERIAL PARTICLE AGGLUTINATION Antigen detection : same
CULTURE Day
2-8°C (FEW
BACTERIAL ANTIGEN LATEX PARTICLE
404 9601 6000 SERUM 2.0 ML (1.0 ML) HRS); -20°C DAILY:1530 HRS SAME DAY
DETECTION (5 ANTIGENS) AGGLUTINATION
(LONGER)
2-8°C (FEW
BACTERIAL ANTIGEN LATEX PARTICLE HRS); -
405 9601C 5500 CSF 2.0 ML (1.0 ML) DAILY:1530 HRS SAME DAY
DETECTION, CSF (5 ANTIGENS) AGGLUTINATION 20°C
(LONGER)
BACTERIAL MENINGITIS
1.0 ML (0.5 ML), 2.0
MULTIPLEX PCR (H. MULTIPLEX POLYMERASE CHAIN
406 9883 4250 CSF/THROAT SWAB ML(1.0 ML), 1.0 ML A 1,4: 1000 HRS NEXT DAY
Influenzae, N. Meningitidis, REACTION
(0.5 ML), 1
S.Pnemoniae)

BACTERIAL PNEUMONIA
SWAB (THROAT SWAB /
PANEL (Mycoplasma
407 9886 5700 POLYMERASE CHAIN REACTION NASOPHARYNGEAL SWAB) / RESPIRATORY 2.0 ML + 2.0 ML + 1 F 1,3,5:1000 HRS NEXT DAY : 1800 HRS
Pneumoniae, S.Pneumoniae,
SECRETIONS / BAL
Chlamydia Genus)
INSTRUCTION: FASTING SERUM (BLOOD
TO BE COLLECTED IN RED TOP
VACUTAINER TUBE) IN PLASTIC VIAL,
408 4068 B-CAROTENE,SERUM 5000 Spectrophotometry 2.0ML(1.0ML) FROZEN MONDAY 09:00HRS 4 DAYS
WRAPPED IN ALUMINIUM FOIL. PLEASE
FORWARD CLINICAL DETAILS ALONG WITH
THE SPECIMEN.
EDTA BONE MARROW / EDTA WHOLE 5 ML (3 ML), 5
B-CELL GENE POLYMERASE CHAIN REACTION/
409 9907 7900 BLOOD / PARAFFIN BLOCK+CLINICAL ML (3 ML), 0.5 CM A/A/ A 1: 0930 HRS 8 DAYS
REARRANGEMENT FRAGMENT ANALYSIS
HISTORY X 0.5 CM X 0.5 CM
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY & CLINICAL
410 Z014K BCL-2 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY. IF TISSUE RECD. , 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
THEN TISSUE PROCESSING WILL BE
CHARGED.
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
411 Z254K BCL-6 ONCOPROTEIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
BONE MARROW OR WB SODIUM HEPARIN
+ CLINICAL HISTORY.SPECIMEN TO REACH
BCR/ abl Gene rearrangement US WITHIN 48 HRS AFTER COLLECTION.
412 5834 (PHILADELPHIA 4900 CELL CULTURE [PLEASE MENTION THE CLINICAL HISTORY, 4.0 ML (2.0 ML) A 1-5 :0700 HRS 12 Working days
CHROMOSOME) BLOOD PICTURE (CBC REPORT) AND
MEDICATION OF THE PATIENT ON THE
TRF]
WB-EDTA/ BONE MARROW-EDTA
BCR/abl - QUANTITATIVE
413 5350QN 6750 REAL TIME PCR (SPECIMEN TO REACH US WITHIN 48 2.0-3.0 ML A/R DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
(Philadelphia Chromosome)
HRS)+CLINICAL HISTORY
A/R – SAMPLE
BCR/ABL BREAKPOINT SHOULD
EDTA WHOLE BLOOD / EDTA BONE 5 ML (3 ML)/5 ML (3
414 RD1318 ANALYSIS (Philadelphia 5000 MULTIPLEX RT-PCR REACH 1 : 0930 HRS 6;1830 HRS
MARROW + CLINICAL HISTORY ML)
Chromosome) WITHIN 48
HRS

BCR/ABL IS - INTERNATIONAL AMBIENT/


415 9892IS SCALE (Philadelphia 6750 Real time PCR WB-EDTA/BONE MARROW EDTA 3 ML REFRIGERATE DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
Chromosome) D
WHOLE BLOOD-EDTA/ BONE MARROW
COLD (2-8 OR
BCR-ABL 1 KINASE DOMAIN EDTA TRANSPORT AT COLD ( 2-8°C),
416 5351 10000 NESTED PCR SEQUENCING 5 ML (3 ML) FROZEN (- 2 :0930 HRS 8 DAYS
MUTATION ANALYSIS (SPECIMEN TO REACH US WITHIN 48
20°C))/ 2-8°C)
HRS)+CLINICAL HISTORY)
WB OR BONE MARROW - SODIUM
HEPARIN SPECIMEN TO REACH US WITH 48
BCR-abl t(9:22) (Philadelphia HRS AFTER COLLECTION.. [PLEASE
417 6001F 6000 FISH 4.0 ML + 2.0 ML A DAILY: 0700 HRS 5TH DAY
Chromosome) MENTION THE CLINICAL HISTORY, BLOOD
PICTURE (CBC REPORT) AND MEDICATION
OF THE PATIENT ON THE TRF]

BCR-abl TRANSCRIPT WB- EDTA / BM- EDTA (SPECIMEN TO


418 9892 QUANTIFICATION 6750 REAL TIME PCR REACH US WITHIN 48 HRS)+ CLINICAL 3.0 ML + 3.0 ML A/R DAILY: 08:00 A.M. NEXT DAY: 18:00 hrs
(Philadelphia Chromosome) HISTORY

24HRS URINE WITHOUT PRESERVATIVE &


REFRIGERATE DURING COLLECTION OR
419 1589 BENCE-JONES PROTEIN 1200 CHEMICAL ANALYSIS RANDOM URINE WITHOUT PRESERVATIVE. 20.0 ML (15.0ML) F DAILY: 1200hrs SAME DAY
(CLINICAL HISTORY + AGE & GENDER IS
MANDATORY)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (14
Enzyme Linked Immnunosorbent Tuesday & Friday
420 1720 BETA 2 GLYCOPROTEIN IGG 1300 SERUM 1.0 ML(0.5 ML) DAYS), >14 SAME DAY
assay :1100 HRS
DAYS -20°C
2-8°C (14
Enzyme Linked Immnunosorbent Tuesday & Friday
421 1719 BETA 2 GLYCOPROTEIN IGM 1300 SERUM 1.0 ML(0.5 ML) DAYS), >14 SAME DAY
assay :1100 HRS
DAYS -20°C
SERUM [Samples should not be taken from
patients receiving therapy
BETA CROSSLAPS (BETA CTX) with high biotin doses (i.e. > 5 mg/day) FROZEN: UP DAILY (MON TO
422 1058 2000 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) SAME DAY
(CTx-1) until at least 8 hours TO 3 MONTHS SAT):1600 hrs
following the last biotin administration]
+ Clinical History
BETA THALASSEMIA
MUTATION DETECTION (IVS1-
MULTIPLEX DNA POLYMERASE
423 2482 5 G-C, 619 bp deletion, cd 8/9 7000 EDTA WHOLE BLOOD+ CLINICAL HISTORY 5.0 ML (3.0 ML) A 3: 0930 HRS 8 DAYS
CHAIN REACTION
+ G, IVS1-1 G-T, 41/42 –
TTCT)
BETA THALASSEMIA
20.0 ML (10.0 ML) / ONLY
MUTATION DETECTION (IVS1- AMNIOTIC FLUID / CVS IN STERILE SALINE /
MULTIPLEX DNA POLYMERASE 10 MG (5-7 MG) / AMNIOTIC
424 2483 5 G-C, 619 bp deletion, cd 8/9 16000 FETAL BLOOD EDTA+EDTA WHOLE BLOOD 3: 0930 HRS 8 DAYS
CHAIN REACTION 5.0 ML (3.0 ML) / 5.0 FLUID/ CVS AT
+ G, IVS1-1 G-T, 41/42 – FOR BOTH PARENTS + CLINICAL HISTORY
ML (3.0 ML) 2-8 °C; REST A
TTCT) PNDT
2-8°C (7 days); 2,4,6:
425 3143 BETA-2-MICROGLOBULIN 1550 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED) 1.0 ML (0.5 ML) SAME DAY
F (2 Weeks) 0500,1430,1600 hrs
URINE (First void the urinary bladder, then
drink a large glass of water and collect a 2-8°C (48 hrs); 2,4,6:
426 3143U BETA-2-MICROGLOBULIN 2100 CHEMILUMINESCENCE 10.0 ML (5.0 ML) SAME DAY
URINE sample within 1 hour). Clinical F (>48 hrs) 0500,1430,1600 hrs
History
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY & CLINICAL
BETA-HUMAN CHORIONIC
427 Z073K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY. IF TISSUE RECD., 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
GONADOTROPIN, (BETA hCG)
THEN TISSUE PROCESSING WILL BE
CHARGED.
PLASMA FLOURIDE
SPECTROPHOTOMETRY,
(F+PP) 3ML EACH+ GREY+ URINE
428 3142 BETASCREEN 350 DIPSTICK/ MANUAL URINE,PLASMA FLOURIDE (F+PP) DAILY SAME DAY
URINE (F+PP) 5 ML CONTAINER
MICROSCOPY
EACH
BILIRUBIN (TOTAL, DIRECT,
429 1527H 280 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
INDIRECT), SER
430 1526H BILIRUBIN, DIRECT, SERUM 220 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
431 1088H BILIRUBIN, TOTAL, SERUM 170 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BIOPSY &
IMMUNOFLUORESCENT TISSUE IN MICHEL'S TRANSPORT MEDIA
IMMUNO FLUORESCENT ASSAY /
432 1528P ASSAY; (HISTOPATH + IgG + 4000 (IFA) + 10% FORMALIN FIXED TISSUE (HP) + 1CM A DAILY: 1000 HRS 7 WORKING DAYS
HP
IgA + IgM + C-3 + C1q + CLINICAL HISTORY
FIBRINOGEN ON TISSUE )
BIOPSY &
IMMUNOFLUORESCENT TISSUE IN MICHEL'S TRANSPORT MEDIA
IMMUNO FLUORESCENT ASSAY /
433 1528 ASSAY; (HISTOPATH + IgG + 3800 (IFA) + 10% FORMALIN FIXED TISSUE (HP) + 1CM A DAILY: 1000 HRS 7 WORKING DAYS
HP
IgA + IgM + C-3 + C1q + CLINICAL HISTORY
FIBRINOGEN ON TISSUE)
TISSUE FIXED IN 10%FORMALIN + SITE OF
BIOPSY + CLINICAL DETAILS. RELEVANT
BIOPSY (BONE
434 1509 1400 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1 CM A DAILY:1000 HRS 12 WORKING DAYS
HISTOPATHOLOGY)
PLATES OR REPORT-PLATES ARE
PREFFERED.
TISSUE FIXED IN 10%FORMALIN+ SITE OF
BIOPSY+ CLINICAL DETAILS . RELEVANT
BIOPSY (BONE
435 1509P 1600 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1 CM A DAILY:1000 HRS 12 WORKING DAYS
HISTOPATHOLOGY) - PHOTO
PLATES OR REPORT-PLATES ARE
PREFFERED.
TISSUE IN 10%
FORMALIN+
BIOPSY (LARGE TISSUE /
436 1507 2200 MANUAL TISSUE WHOLE TISSUE SITE+ DAILY 4 DAYS
SPECIMEN)
CLINICAL
DETAILS

TISSUE IN 10%
FORMALIN+
BIOPSY (MEDIUM TISSUE /
437 1511 1400 MANUAL TISSUE WHOLE TISSUE SITE+ DAILY 3 DAYS
SPECIMEN)
CLINICAL
DETAILS
TISSUE FIXED IN 10%FORMALIN+ SITE OF
BIOPSY + CLINICAL DETAILS RELEVANT
438 P0002 BIOPSY (PHOTO) - IFA 450 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1CM A DAILY:1000 HRS 4 WORKING DAYS
PLATES OR REPORT-PLATES ARE
PREFFERED.
BIOPSY (SKIN TISSUE FIXED IN 10%FORMALIN- SMALL +
439 1502P 1600 HISTOPATHOLOGY 1 CM A DAILY: 1000 HRS 5 WORKING DAYS
HISTOPATHOLOGY) -(PHOTO) CLINICAL HISTORY
BIOPSY (SKIN TISSUE FIXED IN 10%FORMALIN - SMALL +
440 1502 1400 HISTOPATHOLOGY 1 CM A DAILY: 1000 HRS 5 WORKING DAYS
HISTOPATHOLOGY) CLINICAL HISTORY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%
FORMALIN+
BIOPSY (SMALL TISSUE BIOPSY
441 1500 900 MANUAL TISSUE WHOLE TISSUE SITE+ DAILY 3RD DAY
/ SPECIMEN)
CLINICAL
DETAILS
TISSUE + SITE OF BIOPSY + CLINICAL
BIOPSY (SMALL TISSUE BIOPSY DETAILS. RELEVANT RADIOLOGY FINDINGS:
442 1500P 900 HISTOPATHOLOGY 1CM A DAILY:1200 HRS 2 WORKING DAYS
/ SPECIMEN) (PHOTO) X-RAY/CT/MRI PLATES OR REPORT-PLATES
ARE PREFFERED.
TISSUE FIXED IN 10%FORMALIN+ SITE OF
BIOPSY + CLINICAL DETAILS RELEVANT
443 P0001 BIOPSY(PHOTO) - SINGLE (HP) 180 HISTOPATHOLOGY RADIOLOGY FINDINGS: X-RAY/CT/MRI 1CM A DAILY:1000 HRS 2 WORKING DAYS
PLATES OR REPORT-PLATES ARE
PREFFERED.
TISSUE FIXED IN 10% BUFFERED FORMALIN
BIOPSY; BRAIN BIOPSY WITH + SITE OF BIOPSY + CLINICAL DETAILS.
444 1519 SPECIAL STAINS (PTAH & 1500 HISTOPATHOLOGY RELEVANT RADIOLOGY FINDINGS: CT/MRI NOT APPLICABLE A DAILY:1000 HRS 4 WORKING DAYS
RETICULIN) PLATES OR REPORT-PLATES ARE
PREFFERED.

TISSUE FIXED IN 10% BUFFERED FORMALIN


BIOPSY; MUSCLE BIOPSY
+ SITE OF BIOPSY + CLINICAL DETAILS
445 1533 WITH SPECIAL STAINS 1500 HISTOPATHOLOGY NOT APPLICABLE A DAILY: 1000 HRS 4 WORKING DAYS
(EMG STUDIES, LAB. INVESTIGATIONS,
(MASSON TRICHOME)
DISTRIBUTION OF MUSCLE WEAKNESS)

TISSUE FIXED IN 10% BUFFERED FORMALIN


BIOPSY; NERVE BIOPSY WITH + SITE OF BIOPSY + CLINICAL DETAILS
446 1532 SPECIAL STAINS (LUXOL FAST 1500 HISTOPATHOLOGY (EMG NERVE CONDUCTION STUDIES, NOT APPLICABLE A DAILY: 1000 HRS 4 WORKING DAYS
& GBS) MOTOR / SENSORY LOSS, &
SEGMENT INVOLVED)

BIOPSY; RENAL BIOPSY WITH TISSUE FIXED IN 10% BUFFERED FORMALIN


SPECIAL STAINS (PAS, GMS & + SITE OF BIOPSY + CLINICAL DETAILS.
447 1534 1500 HISTOPATHOLOGY NOT APPLICABLE A DAILY: 1000 HRS 4 WORKING DAYS
OTHER AS REQUIRED FOR EX: RENAL FUNCTION TESTS, INCLUDING 24
CONGORED IN AMYLOIDOSIS) HRS URINE PROTEIN.

SATURDAY/WEDNE
448 9300 BIOTINIDASE, SERUM 6500 BIOCHEMICAL SERUM 2.0ML(1.0ML) FROZEN 4 DAYS
SDAY 09:00HRS
449 8407U24 BISMUTH, 24 HRS URINE 4500 ICPMS 24 HRS URINE VOLUME REQUIRED 20 ML (10ML) R DAILY: 900 HRS 15TH DAY
EDTA WHOLE BLOOD ( SEND TO
450 8407 BISMUTH, BLOOD 4500 ICPMS SRL,MUMBAI PREFERABLY WITHIN 24HRS 5.0 ML (3.0 ML) 2-8°C (3 DAYS) DAILY: 900 HRS 15TH DAYS
OF COLLECTION)
451 8407U BISMUTH, URINE SPOT 4500 ICPMS SPOT URINE 20 ML (10ML) R DAILY: 900 HRS 15TH DAYS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EDTA WHOLE BLOOD/RANDOM
URINE.SPECIMEN COLLECTION
BK VIRUS DNA INSTRUCTIONS: EDTA WHOLE BLOOD/ REFRIGERATE
452 RD1470 6800 Real time PCR 10.0ML/10.0ML 1,4 09:00HRS 5,1 reporting 6 PM
QUANTITATIVE RANDOM URINE.SAMPLE SHOULD REACH D
SRL, MUMBAI WITHIN 24HRS OF
COLLECTION.
453 1089 BLEEDING TIME 200 MANUAL OTHERS OTHERS OTHERS SAME DAY SAME DAY
BLEEDING TIME & CLOTTING
454 1090 150 MANUAL OTHERS OTHERS OTHERS DAILY SAME DAY
TIME, EDTA WHOL

UPTO 8
BLOCKS/SLIDES.PLS.
SEND IN THE
SAMPLE/PARAFFIN
BLOCKS WITH
COMPLETE CLINICAL
HISTORY AND
SLIDES/PARAFFIN BLOCKS.PLS. SEND IN
PREVIOUS
THE SAMPLE/PARAFFIN BLOCKS WITH
HISTOPATH
COMPLETE CLINICAL HISTORY AND
REPORT(MANDATOR
PREVIOUS HISTOPATH
Y) SO AS TO MATCH
REPORT(MANDATORY) SO AS TO MATCH
THE SITE OF THE
BLOCK REVIEW/SLIDE REVIEW THE SITE OF THE TISSUE
TISSUE MONDAY TO
455 4055 UPTO 8 BLOCKS - - CoE 8800 HISTOPATHOLOGY SAMPLE/PARAFFIN BLOCK NO. BELONGS AMBIENT 8 DAYS
SAMPLE/PARAFFIN FRIDAY 09:00HRS
Histopathlogy TO THE SAME PATIENT OR NOT.
BLOCK NO. BELONGS
IT IS ALSO MANDATORY TO SENT X-RAY
TO THE SAME
FILM AND MRI REPORT FOR BONE
PATIENT OR NOT.
SAMPLES AND CBC REPORT FOR BONE
IT IS ALSO
MARROW SAMPLES.
MANDATORY TO
SENT X-RAY FILM
AND MRI REPORT
FOR BONE SAMPLES
AND CBC REPORT
FOR BONE MARROW
SAMPLES.
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

MORE THAN 8
BLOCKS/SLIDES.Pls.
Send in the
sample/Paraffin
blocks with
complete clinical
history and previous
histopath
report(Mandatory)
so as to match the
BLOCK/SLIDE REVIEW 9 TO 15
site of the tissue MONDAY TO
456 4056 BLOCKS/SLIDES - CoE 9300 HISTOPATHOLOGY BLOCKS/ SLIDES AMBIENT 8 DAYS
sample/Paraffin FRIDAY 09:00HRS
Histopathlogy
Block no. belongs to
the same patient or
not.
It is also mandatory
to sent X-Ray film
and MRI report for
bone samples and
CBC report for Bone
Marrow samples.

WB-HEPARIN SPECIMEN TO REACH US


WITHIN 48 HRS + FAMILY HISTORY +
457 5814B BLOOD LYMPHO CULTURE 4000 CELL CULTURE 5.0 ML (3.0 ML) A DAILY:0700 HRS 12 WORKING DAYS
CLINICAL HISTORY IN SPECIFIED FORMAT +
DETAILED PHYSICAL FEATURES
BLOOD LYMPHO CULTURE BY
WB-HEPARIN + FAMILY
FISH (Detects only five
HISTORY+DETAILED PHYSICAL
458 5814F chromossomes -Down's 4200 FISH 5.0 ML (3.0 ML) A DAILY 700 HRS 5TH DAY
FEATURES.SPECIMEN TO REACH US
syndrome,ambigious
WITHIN 48 HRS AFTER COLLECTION.
genetalia etc.)
BOH PANEL (LUPUS MON / WED / FRI
ANTICOAGULANT ASSAY, Lupus : Frozen 10:00 HRS TORCH
Antiphospholipid Evaluation, (F DAILY 3 AM, TSH
CLOT BASED & ENZYME DOUBEL CENTRIFUGED PLASMA
TORCH IgG & IgM 10 3.0 ML (2.0 ML)+4.0 immediately DAILY (MON - SAT)
459 1014 5400 IMMUNOASSAY/IFA/CHEMILUM CITRATE(F)+SERUM(R)+CLINICAL 3RD Day
Parameter, ANA, TSH, Factor ML (2.0 ML) at -20°c & 19:00 HRS
INECENCE HISTORY+H/O ORAL ANTICOAGULANT
V Leiden (optional, if required transported in Antiphospholipid
will be charged additionally, dry ice) R/F Evaluation 11:00am
EDTA WB required. daily
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

F (To be F
immediately
at -20°c &
transported in 1, 3, 5: 1000 HRS
BOH TOTAL (TORCH IgG & IgM FASTING, CITRATED PLATELET POOR
dry ice) /2-8°C FOR LUPUS
10 Parameter, TSH, Lupus PLASMA* - AT MINUS 20° C *(DOUBLE TWO ALIQUOTS OF SAME DAY (AVIDITY WILL
CLOT BASED & ENZYME (3 DAYS), ANTICOAGULANT &
Anticoagulant Screen, CENTRIFUGED PLASMA)* + SERUM (R) + 1.5 ML EACH (1.0 BE REPORTED IF IgG AND
460 4638 5400 IMMUNOASSAY/ >3DAYS -20°C CARDIOLIPIN -
Cardiolipin IgG & IgM Abs, CLINICAL HISTORY+ H/O ORAL ANTI ML) + 5.0 ML IgM BOTH ARE POSITIVE) &
CHEMILUMINECENCE TORCH DAILY DAILY: 1100 HRS &
Beta 2 Glycoprotein IgG & COAGULANT (PT. SHOULD BE OFF SERUM (2.0 ML) LUPUS NEXT DAY
3 AM, 15.30 B2GP IgG/IgM - 2
IgM Abs) ANTICOAGULATION FOR 7 DAYS)
PM TSH &5:1100 HRS
DAILY (MON -
SAT) 1600 HRS
and

BONE MARROW ASPIRATION MICROSCOPY+ CYTOCHEMISTRY BONE MARROW SMEAR + PERIPHERIAL 5-6 BM SMEARS + 2
461 9214RFX 1600 A DAILY: 12:00 HRS 3RD DAY
REFLEX WITH MPO SPECIAL STAINS SMEAR + CLINICAL HISTORY PB SMEARS
BONE MARROW SMEAR + PERIPHERIAL
BONE MARROW ASPIRATION 4 BM SMEARS + 2 PB
462 1054 950 MICROSCOPY SMEAR + CLINICAL HISTORY IN SPECIFIED A DAILY :12:00 HRS 3RD DAY
SMEARS SMEARS
FORMAT
BONE MARROW REFLEX TO MICROSCOPY + CYTOCHEMISTRY BONE MARROW SMEAR + PERIPHERIAL 5-6 BM SMEARS + 2
463 9222RFX 1400 A DAILY :12:00 HRS 3RD DAY
LAP SPECIAL STAINS SMEAR + CLINICAL HISTORY PB SMEARS
BORDETELLA PERTUSSIS IGG FROZEN/REFRI
464 4052 2300 EIA SERUM 2.0ML(1.0ML) THURS 09:00HRS 3 DAYS
(SERUM,EIA) GERATED
PARAFFIN BLOCK Tissue embedded in 0.5 CM X 0.5 CM X Monday, Thursday:
465 RD1317 BRAF V600E Mutation 5900 ARMS PCR A 5th working days
Paraffin block + CLINICAL HISTORY 0.5 CM 9.30 hrs
BRCA 1 & 2 GENETIC TEST -
466 RD1421 20000 Next Generation Sequencing EDTA WHOLE BLOOD + CLINICAL HISTORY 6.0 ML ( 4.0 ML) AMBIENT 1: 0930 HRS 20 DAYS
BREAST CANCER
TISSUE IN 10%FORMALIN FOR 24-48 HRS/
PARAFFIN BLOCK+ Site of biopsy and
Clinical details MANDATORY.IF TISSUE
BREAST CA PANEL (ER, PGR, 3RD DAY/ 7TH DAY FOR
467 1692 4300 IMMUNOHISTOCHEMISTRY RECEIVED IT WILL BE CHARGED FOR 1 CM / 1 BLOCK A DAILY:0800 HRS
HER2/neu, KI-67) DNA PLOIDY
TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*

DAILY (MON TO
BREAST CANCER MONITOR I SERUM ( Age+Gender+Clinical History 2-8°C (24 hrs);
468 3022 2300 CHEMILUMINESCENCE 2.0 ML (1.0 ML) SAT): SAME DAY
(CA 15-3, CEA) Required) F ( >24 hrs)
0500,1430,1600 hrs
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN FOR 24-48 HRS/
PARAFFIN BLOCK+ SITE OF BIOPSY AND
BREAST CANCER PROGNOSIS CLINICAL DETAILS MANDATORY.IF TISSUE
IMMUNOHISTOCHEMISTRY / 3 WORKING DAYS / 7TH
469 Z229 PROFILE (ER, PGR, HER2/neu, 6500 RECEIVED IT WILL BE CHARGED FOR 1 CM / 1 BLOCK A DAILY:0800 HRS
FLOW CYTOMETRY DAY FOR DNA PLOIDY
DNA PLOIDY) TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*
TISSUE IN 10%FORMALIN / PARAFFIN
BREAST CANCER PROGNOSIS BLOCK (SITE OF BIOPSY & CLINICAL
IMMUNOHISTOCHEMISTRY / 3 WORKING DAYS / 7TH
470 1804 TUMOR PROFILE #1A (ER, 5500 DETAILS MANDATORY)MANDATORY IF 1 CM / 1 BLOCK A DAILY:0800 HRS
FLOW CYTOMETRY DAY FOR DNA PLOIDY
PGR, DNA PLOIDY) TISSUE RECD. TISSUE PROCESSING WILL BE
CHARGED
TISSUE IN 10%FORMALIN / PARAFFIN
BREAST CANCER PROGNOSIS
BLOCK (SITE OF BIOPSY & CLINICAL
TUMOR PROFILE #2A (ER, IMMUNOHISTOCHEMISTRY / 3 WORKING DAYS / 7TH
471 1813 6300 DETAILS MANDATORY)MANDATORY IF 1 CM / 1 BLOCK A DAILY:0800 HRS
PGR, DNA PLOIDY, CATHESPIN FLOW CYTOMETRY DAY FOR DNA PLOIDY
TISSUE RECD. TISSUE PROCESSING WILL BE
D)
CHARGED
TISSUE IN 10%FORMALIN / PARAFFIN
BREAST CANCER PROGNOSIS BLOCK (SITE OF BIOPSY & CLINICAL
IMMUNOHISTOCHEMISTRY / 3 WORKING DAYS / 7TH
472 1817 TUMOR PROFILE #3A (ER, 6300 DETAILS MANDATORY)MANDATORY IF 1 CM / 1 BLOCK A DAILY:0800 HRS
FLOW CYTOMETRY DAY FOR DNA PLOIDY
PGR, DNA PLOIDY, PS2) TISSUE RECD. TISSUE PROCESSING WILL BE
CHARGED
TISSUE IN 10%FORMALIN / PARAFFIN
BREAST CANCER PROGNOSIS BLOCK (SITE OF BIOPSY & CLINICAL
TUMOR PROFILE #4A (ER, IMMUNOHISTOCHEMISTRY / DETAILS MANDATORY)MANDATORY IF 3 WORKING DAYS / 7TH
473 1812 7200 1 CM / 1 BLOCK A DAILY:0800 HRS
PGR, HER 2-neu, EGFR, DNA FLOW CYTOMETRY TISSUE RECD. TISSUE PROCESSING WILL BE DAY FOR DNA PLOIDY
PLOIDY) CHARGED TIME AND DURATION OR
FIXATION SHOULD BE MENTION ON TRF

TISSUE IN 10%FORMALIN / PARAFFIN


BREAST CANCER PROGNOSIS BLOCK (SITE OF BIOPSY & CLINICAL
TUMOR PROFILE #5A (ER, IMMUNOHISTOCHEMISTRY / DETAILS MANDATORY)MANDATORY IF 3 WORKING DAYS / 7TH
474 1811 8000 1 CM / 1 BLOCK A DAILY:0800 HRS
PGR, HER 2-neu, CATHESPIN FLOW CYTOMETRY TISSUE RECD. TISSUE PROCESSING WILL BE DAY FOR DNA PLOIDY
D, EGFR, DNA PLOIDY) CHARGED TIME AND DURATION OR
FIXATION SHOULD BE MENTION ON TRF

TISSUE IN 10%FORMALIN / PARAFFIN


BREAST CANCER PROGNOSIS
BLOCK (SITE OF BIOPSY & CLINICAL
TUMOR PROFILE #6A (ER,
IMMUNOHISTOCHEMISTRY / DETAILS MANDATORY)MANDATORY IF
475 1816 PGR, DNA PLOIDY, CATHESPIN 11000 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
FLOW CYTOMETRY TISSUE RECD. TISSUE PROCESSING WILL BE
D, EGFR, HER 2neu, KI -67,
CHARGED TIME AND DURATION OR
PS2, P53)
FIXATION SHOULD BE MENTION ON TRF
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN FOR 24-48 HRS/
PARAFFIN BLOCK+ SITE OF BIOPSY AND
CLINICAL DETAILS MANDATORY.IF TISSUE
BREAST EVALUATION PANEL
476 1831K 3300 IMMUNOHISTOCHEMISTRY RECEIVED IT WILL BE CHARGED FOR 1 CM / 1 BLOCK A DAILY:0800 HRS 3RD DAY
(ER, PGR, HER2/neu)
TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*

BLOCKS .Please send Paraffin blocks with


complete clinical history and previous
BREAST HORMONE RECEPTOR histopath report(Mandatory) so as to MONDAY 09:00HRS
MORE THAN 2
477 7206 PANEL(ER/PR,HER-2 NEU) > 2 3100 IHC match the site of the tissue A TO SATURDAY 8 DAYS
BLOCKS/SLIDES
BLOCKS - CoE Histopathlogy sample/Paraffin Block numbers belongs to 09:00HRS
the same patient or not. If not received,
will be created as a problem sample.

BLOCKS .Please send Paraffin blocks with


complete clinical history and previous
BREAST HORMONE RECEPTOR histopath report(Mandatory) so as to
478 9317 PANEL(ER/PR,HER-2 NEU)F - 2900 IHC match the site of the tissue UPTO 2 AMBIENT Daily 09:00hrs 8 days
CoE Histopath sample/Paraffin Block numbers belongs to
the same patient or not. If not received,
will be created as a problem sample.
BRONCHOALVEOLAR FLUID STERILE
479 5190 600 MANUAL/CYTOSPIN FLUID 5 ML DAILY SAME DAY
ANALYSIS CONTAINER
2-8º C (2
BRUCELLA IgG & IgM Enzyme Linked Immnunosorbent
480 8831 2500 SERUM 1.0 ML (0.5 ML) days), >2 4: 1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
2-8º C (2
Enzyme Linked Immnunosorbent
481 8831M BRUCELLA IgM ANTIBODIES 1200 SERUM 1.0 ML (0.5 ML) days), >2 4: 1100 HRS SAME DAY
assay
days- 20 °C
2-8º C (2
BRUCELLA ABORTUS IgG Enzyme Linked Immnunosorbent
482 8831G 1200 SERUM 1.0 ML (0.5 ML) days), >2 4: 1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
483 8836 BRUCELLA ANTIBODIES 700 LPA SERUM 1 ML RED/GEL DAILY SAME DAY
BUCCAL SMEAR FOR BARR
484 5823 3500 CELL CULTURE BUCCAL SMEAR SLIDES+ CLINICAL HISTORY 2-4 SLIDES A DAILY: 7.00 HRS 7TH DAY
BODY ANALYSIS
2nd and 4th
485 1531 C 1 Esterase Functional 4850 ENZYME IMMUNOASSAY SERUM / EDTA PLASMA 2.0 ML (1.0 ML) FROZEN Same day(1900 hrs)
Monday: 1100 hrs
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

R if specimen
with in 24 hrs
of collection.
C DIFFICILE TOXIN A/B: RAPID If received
486 1218T 3200 RAPID ENZYME IMMUNOASSAY STOOL in sterile leak proof Container 10.0 (1.0) G / 1.0 ML DAILY :15:00 HRS SAME DAY
TEST >24 hrs from
collection
then required
F at -20 deg C

THROAT SWAB IN STUARTS TRANSPORT


487 RD1450 C.diptheria Toxin A and B PCR 4500 PCR 1 ML AMBIENT 1, 10:30 7 days
MEDIUM, PURE CULTURE ISOLATES

488 RD1309 C0NNEXIN 26 MUTATION 6000 PCR-SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3ML) A 4: 0930 HRS 8 DAYS

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
C3 (COMPLEMENT PROTEIN 90 DAYS, IF F
489 1501D 850 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
CONCENTRATION) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)
TISSUE IN MICHEL'S TRANSPORT MEDIA
490 1526 C3, IFA 1500 IMMUNO FLUORESCENT ASSAY 1 CM A DAILY: 1000 HRS 4 WORKING DAYS
+CLINICAL HISTORY
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
C4 (COMPLEMENT PROTEIN 90 DAYS, IF F
491 1504D 700 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAILY:16.30 HRS SAME DAY
CONCENTRATION) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

KIDNEY TISSUE IN MICHEL'S TRANSPORT


492 1500CD C4d IMMUNOFLOURESCENCE 1300 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
MEDIA + CLINICAL HISTORY

TISSUE IN 10%FORMALIN / PARAFFIN


BLOCK + SITE OF BIOPSY & CLINICAL
493 Z057K CA 125 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED

DAILY (MON TO
2-8°C (24HRS);
494 3134 CA 15-3 1300 CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY REQUIRED ) 1.0 ML (0.5 ML) SAT): SAME DAY
F (>24 HRS)
0500,1430,1600 hrs
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
2-8°C (48 hrs);
495 3120 CA 19-9 1300 CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY REQUIRED ) 1.0 ML (0.5 ML) SAT): SAME DAY
F (>48 hrs)
0500,1430,1600 hrs

SERUM [Samples should not be taken from


patients receiving therapy
2-8°C (30
with high biotin doses (i.e. > 5 mg/day)
496 4117 CA 72.4 2500 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) days); F (3 2:1600hrs SAME DAY
until at least 8 hours
MONTHS)
following the last biotin administration]
+ Clinical History

CHEMILUMINESCENT 2-8°C (7
497 3121A CA125 1450 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) DAYS); -20°C Daily:1530 pm Same day
(CMIA) (>7 DAYS)

24 HR URINE IN METAL FREE JERRY CAN


AVAILABLE FROM SRL (NO PRESERVATIVE)
AFTER SHAKING THE TAKE THE ALIQUOT IN 2-8°C (5
GFAAS WITH ZEEMAN
498 9143U24 CADMIUM, 24 HRS URINE 3500 METAL FREE SCINTILLATION VIAL 10-20 ML (5 ML) DAYS); F “6” , 11:30 HRS THIRD DAY
CORRECTION
AVAILABLE OR STERILE URINE CONTAINER (>5 - 30DAYS)
BOTTLE BOTH AVAILABLE FROM SRL (NO
PRESERVATIVE)
2-8°C (7
GFAAS WITH ZEEMAN
499 9143 CADMIUM, BLOOD 3400 IMPROVE/BD, SRL EDTA WHOLE BLOOD 5.0 ML (3.0 ML) DAYS); F (>7 - “6”, 11:30 HRS THIRD DAY
CORRECTION
30DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
500 9143U CADMIUM, URINE SPOT 3500 10-20 ML (5 ML) DAYS); F “6”, 11:30 HRS THIRD DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL NOT
(>5 - 30DAYS)
BE ACCEPTED
FROZEN: UP 5: 0500,1430, 1600
501 3126 CALCITONIN 2100 CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY REQUIRED ) 1.0 ML(0.5ML) SAME DAY
TO 2 WEEKS hrs
URINE
502 4836UH CALCIUM, 24HRS URINE 250 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
503 4836H CALCIUM, SERUM 240 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
TISSUE IN 10%FORMALIN / PARAFFIN
CALPONIN BLOCK + SITE OF BIOPSY & CLINICAL
504 Z223K 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED

2-8°C (2days);
FLUOROENZYME Wednesday &
505 9980 CALPROTECTIN 2600 STOOL 100 GMS (50 GMS) -20°C (>2 SAME DAY
IMMUNOASSAY Saturday : 1100 HRS
days)
EDTA WHOLE BLOOD / EDTA BONE
5 ML (3 ML)/5 ML (3
506 RD1476 CALR GENE MUTATIONS 6500 PCR-SEQUENCING MARROW + CLINICAL HISTORY in specified A 1,5 : 0930 HRS 7 days
ML)
format
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
CALRETENIN BLOCK + SITE OF BIOPSY & CLINICAL
507 Z058K 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
BY PRIOR
RECTAL BIOPSY, STOOL IN TRANSPORT
APPOINTMENT,
MEDIA (TRANSPORT MEDIA
CAMPYLOBACTER SPECIES 2.0 G (1.0 G) STOOL / (Ask for
508 5704 1000 CULTURE MANDATORY),BODY FLUID/BLOOD R 7TH DAY
CULTURE 5ML SPECIMEN -SC TRANSPORT
INOCULATED IN BACTEC BOTTLE (AEROBIC
MEDIUM) specify
PLUS )
sample source
2-8°C (24
CANDIDA ALBICANS INDIRECT
509 2330 3700 SERUM 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
ANTIBODIES HAEMAGGLUTINATION
(>24 HRS)
3.0 ML + 5.0 ML (1.0
ML) + 2.0 ML (1.0
CANDIDA ALBICANS DNA SPUTUM / CSF / FLUIDS / TISSUES +
510 2331 8000 PCR-SEQUENCING ML) + 2.0 ML (1.0 A 1,4:0930 HRS 3,6:1800 HRS
DETECTOR CLINICAL HISTORY
ML) + 1.0 GM (0.5
GM)
SERUM ( TREATMENT HISTORY REQUIRED
) FOR THERAPEUTIC LEVELS SAMPLE DAILY (MON TO
2-8°C (48 hrs);
511 4116 CARBAMAZEPINE( TEGRETOL) 1000 CHEMILUMINESCENCE SHOULD BE COLLECTED JUST BEFORE ORAL 1.0 ML (0.5 ML) SAT): SAME DAY
F (>48 hrs)
DOSE. FOR TOXIC LEVELS COLLECTION 0500,1430,1600 hrs
SHOULD BE 4-8 HOURS POST DOSE

2-8°C (7
DAYS); F (> 7
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
CARBOHYDRATE DEFICIENT 1st & 3rd MON :
512 4521 2000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F SAME DAY
TRANSFERRIN (CDT) 1200 HRS
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

2-8°C (48 DAILY (MON TO


CARCINOEMBRYONIC
513 3258 850 CHEMILUMINESCENCE SERUM ( CLINICAL HISTORY REQUIRED ) 1.0 ML (0.5 ML) HRS); F (>48 SAT): SAME DAY
ANTIGEN (CEA)
HRS) 0500,1430,1600 hrs
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CARCINOEMBRYONIC
514 Z043K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ANTIGEN (CEA)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
CARDIAC ENZYME PANEL,
515 1164 1250 SPECTROPHOTOMETRY SERUM SERUM 3 ML RED DAILY SAME DAY
SERUM
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

Enzyme Linked Immnunosorbent 2-8°C (3 DAYS)


516 3370 CARDIOLIPIN IGA ANTIBODIES 900 SERUM 1.0 ML(0.5 ML) DAILY:1100 HRS SAME DAY 1800 HRS
assay ,>3DAYS -20°C

2-8°C (48 hrs);


CARDIOLIPIN IgG & IgM Enzyme Linked Immnunosorbent
517 3371 1720 SERUM 1.0 ML (0.5 ML) -20°C (>48 DAILY: 1100 HRS SAME DAY
ANTIBODIES assay
hrs)
2-8°C (48 hrs);
Enzyme Linked Immnunosorbent
518 3371G CARDIOLIPIN IgG ANTIBODIES 700 SERUM 1.0 ML (0.5 ML) -20°C (>48 DAILY: 1100 HRS SAME DAY
assay
hrs)
2-8°C (48 hrs);
Enzyme Linked Immnunosorbent
519 3371M CARDIOLIPIN IgM ANTIBODIES 700 SERUM 1.0 ML (0.5 ML) -20°C (>48 DAILY: 1100 HRS SAME DAY
assay
hrs)
THE BLOOD SAMPLE (EDTA)SHOULD BE
STORED AT 2-8 DEGREE CELCIUS UNTIL
CENTRIFUGED TO SEPARATE THE PLASMA
WITHIN 2 HOURS AFTER BLOOD
COLLECTION. KEEP AWAY FROM HEAT OR
DIRECT SUN LIGHT.DO NOT CONSUME
VITAMIN B ,COFFEE, BANANAS, ALPHA -
F FROZEN WEDNESDAY :
520 3304 CATECHOLAMINES, PLASMA 6600 ENZYME IMMUNOASSAY METHYDOPA,MOA AND COMT 2.0 ML (1.0 ML) NEXT DAY
STRICTLY 1000HRS
INHIBITORSAS WELL AS MEDICATION
RELATED TO HYPERTENSION 72 HRS
PRIOR TO THE COLLECTION OF THE
SPECIMEN.MENTION CLINICAL
DETAILS(PATIENT CLINICAL HISTORY, CT
SCAN,USG & MEDICATION) OF THE
PATIENT ON THE REQ FORM..
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

24HRS URINE (Preservative:15 - 20ML 6N


HCL) . (The patient should not consume
Vitamin B, COFFEE AND BANANAS, 48hrs
prior to the collection of the specimen.It is
advisable to discontinue all medications,
alpha methyldopa, MAO & COMT
Inhibitors as well as medications related to
Hypertension should be discontinued
FROZEN WEDNESDAY :
521 3304U CATECHOLAMINES, URINE 4800 ENZYME IMMUNOASSAY atleast 72 hrs prior to specimen 20.0 ML (10.0ML) NEXT DAY
STRICTLY 1000HRS
collection.If medications takenshould be
STrictly on the advise of the referring
physician, the same should be
mentioned.Please freeze the specimen
immediately after collection. CLINICAL
DETAILS(Patient's clinical history, CT SCAN
, USG & MEDICATION MANDATORY)
mention 24 hrs urine volume

AUTOMATED CELL COUNTER


+MICROSCOPY + EDTA WB +FRESH PERIPHERAL SMEARS
522 9211RFX CBC REFLEX TO LAP 750 3.0ML + 3-4 SMEARS A DAILY : 15:00 HRS 3RD DAY
CYTOCHEMISTRY SPECIAL (AIR DRIED) + CLINICAL HISTORY
STAINS
CBC WITH ESR (CBC+PS+ESR) EDTA WHOLE BLOOD , CITRATE WHOLE EDTA , BLACK
523 5111 270 5 PART AUTO ANALYSER 3 ML DAILY SAME DAY
EDTA WHOLE BLO BLOOD TOP

524 5110G CBC-5, EDTA WHOLE BLOOD 240 5 PART AUTO ANALYSER EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


525 1602 CCD3 5300 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6..00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


526 1604 CCD79A 5300 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
CD 10
527 Z219K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
CD 138
528 Z244K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
CD 1a BLOCK + SITE OF BIOPSY & CLINICAL
529 Z224K 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
530 Z248K CD 56 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
531 Z268K CD 7 2700 IMMUNO HISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
532 Z249K CD 79A 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
533 Z247K CD 8 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC
534 1676BC CD10 (CALLA) 2800 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


535 1673 CD103 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


536 1675BN CD11c-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
537 Z030K CD15 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB- EDTA | WB- HEPARIN | WB / SMEARS 3-4 CC (1CC) / 3-4 CC
CD16+56-PERCENT +
538 1674BL 4000 FLOW CYTOMETRY + CLINICAL HISTORY(WB TO REACH (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
ABSOLUTE COUNTS
WITHIN 48 HRS) / 3-4 CC (1CC)

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC


539 1675BS CD19/KAPPA-PERCENT 2200 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


540 1675BT CD19/LAMBDA-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC


541 1675BU CD19/Tdt-PERCENT 7000 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


542 1675BA CD19-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
543 Z022K CD20 (PAN-B CELL) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
544 1675BB CD20-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
545 Z034K CD21 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
546 1677BD CD22-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

TISSUE IN 10%FORMALIN / PARAFFIN


BLOCK+ Site of biopsy and Clinical details
547 Z261K CD23 (IHC) 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC


548 1677BC CD23-PERCENT 2800 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
549 1674BM CD25-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


550 1675BC CD2-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
551 Z023K CD3 (PAN-T CELL) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
552 1674BY CD3/CD16+56-PERCENT 5800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

WB- EDTA / BM-EDTA / WB- HEPARIN / 3-4 CC (1CC) / 3-4 CC


553 1674BX CD3/CD19-PERCENT 5800 FLOW CYTOMETRY BM-HEPARIN+DIRECT SMEAR+FLUID (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
SMEAR + CLINICAL HISTORY / 3-4 CC (1CC)

3.0 ML (2.0 ML) + 1-


WB-EDTA / HEPARIN + SMEAR (WB TO
554 1674BU CD3/CD4-ABSOLUTE 1400 FLOW CYTOMETRY 2 REPRESENTATIVE A DAILY:1530 HRS SAME DAY 1800 HRS
REACH WITHIN 48 HRS)
SLIDES
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
555 Z029K CD30 (KI-1 ANTIGEN) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
556 Z212K CD31 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
557 Z211K CD34 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
558 1674BQ CD38-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CD4 (Lymphocyte
Enumeration, T- HELPER WB-EDTA + HEPARIN (WB TO REACH 3.0 ML (2.0 ML) + 3.0
559 1656B 1700 FLOW CYTOMETRY A DAILY:1530 HRS SAME DAY 1800 HRS
CELLS, (%CD3,%CD4,ABS WITHIN 48 HRS) ML (2.0 ML)
CD3,ABS CD4))
CD4 (LYMPHOCYTE SUBSET EDTA WB ONLY
560 1659 PERCENTAGE AND ABSOLUTE 1100 FLOW CYTOMETRY (SAMPLE TO REACH LAB WITHIN 3 – 5 ML A DAILY: 1530 HRS SAME DAY BY 6.00PM
COUNT) 48 HOURS.)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
561 Z025K CD4 (T-Helper cell) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
CD4/CD8 (Lymphocyte
Enumeration STudy-T Cells WB-EDTA + HEPARIN (WB TO REACH 3.0 ML (2.0 ML) + 3.0
562 1657B 2600 FLOW CYTOMETRY A DAILY:1530 HRS SAME DAY 1800 HRS
(%CD3,%CD4,%CD8,ABS WITHIN 48 HRS) ML (2.0 ML)
CD3,ABS CD4,ABS CD8))
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
563 Z024K CD43 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
CD45 [Also called as BLOCK + SITE OF BIOPSY AND CLINICAL
564 Z021K LEUCOCYTE COMMON 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ANTIGEN (LCA)] IT WILL BE CHARGED FOR TISSUE
PROCESSING
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
565 1676BB CD45-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
566 Z213K CD5 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
567 1675BP CD5/CD19-PERCENT 5800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


568 1675BD CD5-PERCENT 2800 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CD68 IHC, TISSUE/PARAFFIN
569 Z026K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
BLOCK
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ Site of biopsy and Clinical details
570 Z260K CDX2 (IHC) 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING
CEBPA MUTATION EDTA WHOLE BLOOD/EDTA BONE
571 7478 6000 PCR-SEQUENCING 5 ML (3ML) A 5: 0930 HRS 7 DAYS
DETECTION MARROW + CLINICAL HISTORY
2,4,6:1100 HRS For
Enzyme Linked Immnunosorbent
CELIAC PROFILE (Ttg IgA ABS, 2-8°C (2 days) TTG and 4:1100
572 1073 10000 assay , FLUOROENZYME SERUM 2.0 ML (1.0 ML) SAME DAY
Gliadin IgG & IgA ABS) ,>2 days -20°C HRS For Gliadin IgG
IMMUNOASSAY
& IgA
CEREBROSPINAL FLUID, SPECTROPHOTOMETRY / STERILE
573 5195 700 FLUID 5 ML DAILY SAME DAY
ROUTINE MICROSCOPY CONTAINER
2-8°C (7
DAYS); F (> 7
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
574 1516D CERULOPLASMIN 1250 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F 1/3/5:16.30 HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
SPECIMEN FIXED IN LIQUIPREP
CERVI PLUS (LBC/ THIN PREP +
575 9508 3500 CYTOLOGY / FLOW CYTOMETRY PRESERVATIVE SOLUTION + CLINICAL 1 VIAL A 1,3,5: 1000 hrs AFTER 4 DAYS
CERVI REAL HPV E6/E7 MRNA)
HISTORY, AGE, LMP LBC/THIN PREP
576 RD1468 CerviReal (HPV E6/E7 mRNA) 3000 FLOW CYTOMETRY LBC/THIN PREP 10ML AMBIENT 1,3,5: 1000 hrs AFTER 4 DAYS
CH 50 COMPLEMENT TOTAL THURSDAY
577 1599 4500 ELISA SERUM 2.0ML(1.0)ML R 3TH DAY
SERUM 09:00HRS
CHICKEN POX (VARICELLA 2-8º C (5
Enzyme Linked Immnunosorbent
578 8761 ZOSTER VIRUS (VZV) IgG 1800 SERUM 1.0 ML (0.5 ML) DAYS), >5 3: 1030 HRS SAME DAY
assay
ANTIBODIES) DAYS- 20 °C

CHICKEN POX (VARICELLA 2-8º C (5


Enzyme Linked Immnunosorbent
579 8766 ZOSTER VIRUS (VZV) IgM 1800 SERUM 1.0 ML (0.5 ML) DAYS), >5 3: 1030 HRS SAME DAY
assay
ANTIBODIES) DAYS- 20 °C
2-8°C (3
580 2492 CHIKUNGUNYA IgM - RAPID 1000 IMMUNOCONCENTRATION SERUM 1.0 ML(0.5 ML) DAYS); -20°C Daily:1530 pm SAME DAY 1900 HRS
(>3 DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8º C (5
CHIKUNGUNYA IgM Enzyme Linked Immnunosorbent SERUM + CLINICAL HISTORY (DETAILS OF THURSDAY: 11:00
581 2491 1150 2.0 ML (1.0 ML) DAYS), >5 SAME DAY
ANTIBODY, SERUM assay FEVER, SYMPTOMS ETC.) HRS
DAYS- 20 °C
EDTA Whole Blood Donor + EDTA Whole Monday to Friday,
582 RD1453 CHIMERISM (Post -transplant) 22500 STR Analysis 3ml each Ambient 5 working days
Blood Recipient 10:30am
CHIMERISM (Pre transplant, EDTA Whole Blood Donor + EDTA Whole Monday to Friday,
583 RD1452 27500 STR Analysis 3ml each Ambient 5 working days
Donor and recipient) Blood Recipient 10:30am
URINE / GENITAL SWAB/URETHRAL 1.0 ML FLUID / 1
584 7437 CHLAMYDIA DNA DETECTOR 3700 POLYMERASE CHAIN REACTION A/R/F 1:1000 HRS NEXT DAY
SWAB/EYE SWAB SWAB
2-8º C (5
CHLAMYDIA PNEUMONIAE Enzyme Linked Immnunosorbent
585 9405 4500 SERUM 2.0 ML (1.0 ML) days), >5 2: 1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
2-8º C (5
CHLAMYDIA PNEUMONIAE Enzyme Linked Immnunosorbent
586 9410 1300 SERUM 2.0 ML (1.0 ML) days), >5 2: 1100 HRS SAME DAY
IgA ANTIBODIES assay
days- 20 °C
2-8º C (5
CHLAMYDIA PNEUMONIAE Enzyme Linked Immnunosorbent
587 9408 1800 SERUM 2.0 ML (1.0 ML) days), >5 2: 1100 HRS SAME DAY
IgG ANTIBODIES assay
days- 20 °C
2-8º C (5
CHLAMYDIA PNEUMONIAE Enzyme Linked Immnunosorbent
588 9409 2200 SERUM 2.0 ML (1.0 ML) days), >5 2: 1100 HRS SAME DAY
IgM ANTIBODIES assay
days- 20 °C
10.0ML(5.0) ML + 1 +
URINE / GENITAL/ URETHRAL SWAB/EYE
589 7438 CHLAMYDIA SPECIATION 4200 PCR Sequencing 1 + 1.0 (0.5)ML + 1 A/R 1:0930 HRS 5: 1830 HRS
SWAB /FLUID
(0.5) ML
2-8º C (5
CHLAMYDIA TRACHOMATIS Enzyme Linked Immnunosorbent
590 9404 4100 SERUM 2.0 ML (1.0 ML) DAYS), >5 2: 1100 HRS SAME DAY
ANTIBODIES assay
DAYS- 20 °C

2-8º C (5
CHLAMYDIA TRACHOMATIS Enzyme Linked Immnunosorbent
591 9406 1200 SERUM 1.0 ML (0.5 ML) DAYS), >5 2: 1100 HRS SAME DAY
IgG ANTIBODIES assay
DAYS- 20 °C

2-8º C (5
CHLAMYDIA TRACHOMATIS Enzyme Linked Immnunosorbent
592 9411 1200 SERUM 1.0 ML (0.5 ML) DAYS), >5 2: 1100 HRS SAME DAY
IgM ANTIBODIES assay
DAYS- 20 °C
URINE
593 1182UHD CHLORIDE, 24HRS URINE 290 IMT 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
594 1182HD CHLORIDE, SERUM 170 IMT SERUM 2 ML (1 ML) RED DAILY SAME DAY
595 1532HD CHOLESTEROL - LDL, SERUM 350 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
596 3350HD CHOLESTEROL, SERUM 170 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

24 HR URINE IN METAL FREE JERRY CAN


AVAILABLE FROM SRL (NO PRESERVATIVE).
24 HRS VOLUME SHOULD BE
COMPULSARILY SPECIFIED . FIRST SHAKE
THE CAN AND TAKE THE 10-20 ML 2-8°C (5
GFAAS WITH ZEEMAN
597 9147U24 CHROMIUM, 24 HRS URINE 3500 ALIQUOT. THE MEASUREMENT OF URINE 10-20 ML (5 ML) DAYS); F (>5 - “6”, 11:30 HRS THIRD DAY
CORRECTION
VOLUME SHOULD BE DONE AFTER 30 DAYS)
ALIQUOTING.IN METAL FREE
SCINTILLATION VIAL AVAILABLE OR
STERILE URINE CULTURE BOTH AVAILABLE
FROM SRL (NO PRESERVATIVE)

2-8°C
GFAAS WITH ZEEMAN BD SRL SODIUM HEPARIN VACCUTAINER, (7DAYS);
598 9147 CHROMIUM, BLOOD 3500 5.0 ML (3.0 ML) “6”, 11:30 HRS THIRD DAY
CORRECTION WHOLE BLOOD FROZEN (>7 -
30 DAYS)
2-8°C
GFAAS WITH ZEEMAN BD RED TOP VACCUTAINER, CENTRIFUGE, (7DAYS);
599 9147S CHROMIUM, SERUM 3400 3.0 ML (2.0 ML) “6”, 11:30 HRS THIRD DAY
CORRECTION SEPARATE SERUM FROZEN (>7 -
30 DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
600 9147U CHROMIUM, URINE SPOT 3500 10-20 ML (5 ML) DAYS); F (>5 - “6”, 11:30 HRS THIRD DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL NOT
30 DAYS)
BE ACCEPTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
601 Z081K CHROMOGRANIN A 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
2-8°C (24
602 3951 CHROMOGRANIN A 7400 RADIO IMMUNOASSAY SERUM ( CLINICAL HISTORY REQUIRED ) 2.0ML(1.0ML) HRS); F (>24 1,4: 1100 hrs NEXT DAY
HRS)
BONE MARROW OR WB SODIUM HEPARIN
SPECIMEN TO REACH US WITH 48 HRS +
CHROMOSOME ANALYSIS IN
CLINICAL HISTORY [PLEASE MENTION THE
603 5800 HEMATOLOGICAL DISORDERS 5500 KARYOTYPE CELL CULTURE 4.0 ML/3 ML A DAILY: 7.00 HRS 12 WORKING DAYS
CLINICAL HISTORY, BLOOD PICTURE (CBC
(Blood cancer or Leukemia )
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]
DAILY: 0930 HRS
Chromosome SNP Microarray
604 RD1435 32000 Microarray EDTA WHOLE BLOOD 3-5 ML AMBIENT (EXCEPT SUNDAY 21 DAYS
(CSM)
AND HOLIDAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY: 18:30 HRS
FOR BIOCHEM,
AUTOMATED CELL COUNTER, DAILY:
AUTOMATED (PHOTOMETRICAL 12:00,15:30,17:30
EDTA WHOLE BLOOD +CITRATE WHOLE 3.0 ML EDTA WHOLE
CHRONIC FATIGUE CAPILLARY STOPPED FLOW FLUORIDE HRS FOR CBC/ESR ,
BLOOD BLACK TOP + RANDOM FLORIDE BLOOD + RANDOM
SYNDROME PANEL (CBC, ESR, KINETIC ANALYSIS) / MANUAL PLASMA : (2- DAILY; 1100 HRS
PLASMA+RANDOM URINE+FASTING FLUORIDE PLASMA
Random Glucose, Creatinine, (MODIFIED WESTERGREN) 8°C 3 DAYS); FOR ALLERGY,
URINE+SERUM FROZEN + (AGE & GENDER 2.0 ML (1.0 ML)+
Calcium, Magnesium, ,Chemiluminescent SERUM : 2-8°C DAILY 1100, 1530
605 1024 5700 IS MANDATORY) + DIRECT SMEARS. (Folic FASTING URINE 15.0 SAME DAY
Electrolytes, ALT, HBsAg, HIV, Microparticle Immunoassay (2 DAYS), F (> HRS FOR ANA,
Acid: Folates are light sensitive. Minimize ML (10.0 ML)+
HCV, ANA, TSH, Folic Acid, (CMIA), Chemiluminescence, 2DAYS); DAILY: 0730 HRS &
exposure to light during sample handling SERUM 3.0 ML
Urinalysis, Food Allergy ImmunoCAP Specific IgE URINE : 2- 1530 HRS for HCV,
and (2.0ML)+ 3.0 ML + 2-
(Wheat, Milk, Peanut) inhouse allergen, 8°C(24 HRS) DAILY (MON TO
storage). 3
SPECTROPHOTOMETRY, IMT, SAT); 0500, 1600
DIPSTICK & MICROSCOPY HRS FOR FOLIC
ACID AND 0500 ,
1900 HRS FOR TSH
CHRONIC
LYMPHOPROLIFERATIVE
DISORDER PANEL (CD5, BM / WB- EDTA | BM / WB- HEPARIN |
3-4 CC (1CC) / 3-4 CC
CD10, CD19, CD20, CD22, FLUID-EDTA I FLUID-HEPARIN I BM / WB /
606 1609 13000 FLOW CYTOMETRY (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CD23, CD25, CD38, CD11c, FLUIDS SMEARS + CLINICAL
/ 3-4 CC (1CC)
CD103, FMC 7, HLA DR, HISTORY(MANDATORY)
Surface immunoglobulins
AND LIGHT CHAINS )
24HRS URINE SAMPLE (BEFORE STARTING
THE COLLECTION, 10ML OF 6N HCL
SATURDAY
PRESERVATIVE SHOULD BE ADDED TO THE
CITRATE, URINE 24 H FROZEN(STABI 09:00HRS AND
607 8425 1300 Enzymatic 24HRS URINE COLLECTION CONTAINER). 20.0ml(10.0ml) 3 days
ENZYMATIC LITY:4 DAYS) WEDNESDAY:0900
MENTION AGE, GENDER, 24HRS URINE
HRS
VOLUME AND CLINICAL DETAILS ON THE
REQUISITION FORM.

TISSUE IN 10%FORMALIN / PARAFFIN


BLOCK -SITE OF BIOPSY & CLINICAL
608 RD1444 C-KIT GIST 11000 PCR - SEQUENCING 2 NOS (1NO.) AMBIENT 1, 5: 1030 HRS 10 TH DAY
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
EDTA WHOLE BLOOD / EDTA BONE
609 RD1308 C-KIT MUTATION 4000 PCR-SEQUENCING 5 ML (3ML) A 1,5: 0930 HRS 6 DAYS
MARROW + CLINICAL HISTORY
Clostridium Difficile Real Time
610 RD1430 3300 Real Time PCR STOOL 1.0 GM FROZEN/COLD 1,4: 0930 HRS 3,6 : 1830 HRS
PCR
611 1081 CLOTTING TIME, BLOOD 180 MANUAL OTHERS OTHERS OTHERS SAME DAY SAME DAY
BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC
612 1603 cmPO 5300 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB- EDTA /BM-EDTA / WB- HEPARIN 3-4 CC (1CC) / 3-4 CC
613 1614 cmPO / CCD79A / CCD3 9300 FLOW CYTOMETRY /BM-HEPARIN / FLUIDS IN EDTA (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
/HEPARIN/SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

CMV COMBI TEST (CMV Viral EDTA PLASMA /EDTA WHOLE BLOOD +
614 7578 10000 REAL TIME PCR/SEQUENCING 5 ML (3 ML) F/A 3: 0930 HRS 8 DAYS
Load/GCV resistance) CLINICAL HISTORY

1 BLOCK. PLEASE
SEND THE
SLIDE/PARAFFIN
BLOCK WITH
COMPLETE CLINICAL
HISTORY AND
PREVIOUS
HISTOPATH
CMV IHC MARKER - CoE MONDAY TO
615 7198 1500 IMMUNO HISTOCHEMISTRY BLOCK REPORT(MANDATOR AMBIENT 8 DAYS
Histopathlogy FRIDAY 09:00HRS
Y) SO AS TO MATCH
THE SITE OF THE
TISSUE
SAMPLE/PARAFFIN
BLOCK NO. BELONGS
TO THE SAME
PATIENT OR NOT.

EDTA PLASMA
- A/R/F, EDTA
616 7576 CMV Viral Load 8000 Real Time PCR EDTA PLASMA /EDTA WHOLE BLOOD 5 ML (3 ML) 2,4,6 : 8 HRS 4, 6, 2: 1900HRS
WHOLE
BLOOD -A/R

BLOCK .Please send Paraffin blocks with


complete clinical history and previous
histopath report(Mandatory) so as to MONDAY 09:00HRS
C-MYC IHC SLIDE STAINING -
617 7208 1800 IHC match the site of the tissue 1 BLOCK A TO SATURDAY 8 DAYS
ONE BLOCK
sample/Paraffin Block numbers belongs to 09:00HRS
the same patient or not. If not received,
will be created as a problem sample.
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
618 9149U COBALT URINE SPOT URINE 3500 10-20 ML (5 ML) DAYS); F (>5 - “3”, 11:30 HRS THIRD DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL NOT
30 DAYS)
BE ACCEPTED
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO PRESERVATIVE)
2-8°C (5
GFAAS WITH ZEEMAN IN METAL FREE SCINTILLATION VIAL
619 9149U24 COBALT, 24 HRS URINE 3500 10-20 ML (5 ML) DAYS); F (>5 - “3”, 11:30 HRS THIRD DAY
CORRECTION AVAILABLE OR STERILE URINE CONTAINER
30 DAYS)
BOTH AVAILABLE FROM SRL (NO
PRESERVATIVE)
GFAAS WITH ZEEMAN BD, SRL EDTA VACCUTAINER, WHOLE 2-8°C
620 9149 COBALT, BLOOD 3500 5.0 ML (3.0 ML) “3”, 11:30 HRS THIRD DAY
CORRECTION BLOOD (7DAYS);
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
COLORECTAL CANCER PANEL PCR DETAILS MANDATORY IF TISSUE RECD. 0.5 cm X 0.5 cm X Monday, Thursday:
621 4550 11500 A 5th working days
(KRAS, NRAS & BRAF) Sequencing/PyroSequencing TISSUE PROCESSING WILL BE 0.5 cm 9.30 hrs
CHARGED/UNSTAINED SLIDES - 5
NOS/CELL BLOCKS
COMMON MUTATION PANEL
mtDNA (MELAS 1,
622 RD1465 13000 PCR Sequencing EDTA WHOLE BLOOD + CLINICAL HISTORY 5ML AMBIENT 3, 10:00AM 10 days
MERRF,NARP,LHON, KSS MT
DNA MUTATION)
IMMUNO FLUORESCENT ASSAY / TISSUE IN MICHEL'S TRANSPORT MEDIA +
623 1555 COMPLEMENT C1q 3500 1CM A DAILY: 1000 HRS 4 WORKING DAYS
HP CLINICAL HISTORY
COMPLETE DIAGNOSIS WITH
PARAFFIN BLOCKS (PLEASE LET US KNOW
624 Z009K SPECIAL STAINS & IHC (AS 5300 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
THE SITE OF BIOPSY & CLINICAL DETAILS)
AND WHEN NEEDED)

DAILY :1030 hrs ,


FOR
APOLIPOPROTEINS
& LIPOPROTEINS
COMPREHENSIVE CORONARY
SPECTROPHOTOMETRY/ 12-14 HOURS FASTING SERUM + SERUM/ F; 2-8°C (2 DAILY : 1630 hrs
RISK PROFILE (Extended
625 1209C 4000 CHEMILUMINESCENCE/ PLASMA- EDTA + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS); F (> 2 AND SAME DAY
Coronary Risk Profile,
NEPHELOMETRY MANDATORY) DAYS) BIOCHEM(LIPID)
Homocysteine)
:18:30 hrs, DAILY
(MON TO SAT):
0500, 1600 hrs for
HOMOCYSTEINE
EDTA WB 3ML, ESR
SPECTROPHOTOMETRY , 5 PART 2ML, 15 ML PURPLE+
AUTOANALYSER ,MANUAL URINE,PLASMA RED+ GREY+
COMPREHENSIVE HEALTH SERUM+EDTAWB+ PLASMA FLUORIDE
626 1001 4500 MICROSCOPY, TUBE FLUORIDE(F+PP) URINE DAILY SAME DAY
CHECK PROGRAM (F+PP)+ URINE (F+PP)+ BLACKTOP
AGGLUTINATION, CLIA,CMIA, 2ML EACH, URINE CONTAINER+
DIPSTICK, FLOCCULATION (F+PP) 2ML EACH, BLACK TOP
SRUM 5 ML
ELECTROPHORESIS/
COMPREHENSIVE MYELOMA SERUM (CLINICAL HISTORY, AGE &
627 5040 7000 IMMUNOELECTROPHORESIS/NE 2.0 ML (1.5 ML) 2-8°C (7 DAYS) TUE & FRI: 1100 hrs 4TH DAY
PROTEIN PANEL GENDER IS MANDATORY )
PHELOMETRY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
A. General Information
Collection Time: Collect sample 24 hours
AFTER birth up to 1 month of age. (DAY 2-
7 REPORTED WITHOUT DISCLAIMER , DAY
8 TO 1 MONTH WITH DISCLAIMER
COMMENT)
REQUIRE FOLLOWING MADATORY
DETAILS: Storage and
Birth date and time, Sample collection Shipping
date and time, Age at the time of Temperature:
collection (more than 24 hours), Specimen and Allow blood to
Transfusion details if any with date and Volume: 4 - 5 whole dry 3 - 4 hrs
time, IV fluid infusion if any with date and blood spots on before
COMPREHENSIVE NEONATAL time, Feed details (Breast/Bottle/Both TUESDAY AND
628 3328IJ 5600 MS/MS Whatman 903® filter packing. 4TH DAY 6:00PM
SCREENING PANEL Breast and Bottle feed), Status at the time FRIDAY 10:00HRS
paper; Fill all circles Store/Ship the
of collection (Normal/Premature/Sick), with blood. Do NOT sample in a
Gestational age, Birth weight details, Layer ZipLock© or
Medication if any.Single baby or Twin baby equivalent
(please specify),Ethnicity bag at 2° - 8°
(White/Hispanic/Asian/Am.Indian/Af.Amer C.
/Others),Doctors Name and Contact
details + Clinical history of the patient.
B. Sample Acceptability: Special
Instructions:
1. Venous blood from a central line is
acceptable (Do NOT apply blood to filter
paper through a needle as hemolysed
samples are not acceptable).
DRY BLOOD SPOT with complete CLINICAL 1,4:1100 HRS
COMPREHENSIVE NEONATAL HISTORY form including birth date & birth FOR BIOCHEMI
ENZYME
SCREENING PANEL (Neonatal time.(Dried Blood spot should be ideally 2-8°C (14 BIOCHEMICAL CAL NEXT
629 3328II 6000 IMMUNOASSAY & 5 NOS.(4NOS.)
Screening Panel-1+NBS by collected within 3rd and 5th day of life DAYS) & MS/MS TUESDAY DAY &
MS/MS
MS/MS) after birth), FOR MS/MS refer test code AND FRIDAY MS/MS: 4TH DAY 6:00 PM
3358 10:00HRS
COMPREHENSIVE VIRAL FLU REAL TIME PCR FOR NOVEL
PANEL (INFLUENZA A, H1N1 AND INFLUENZA A; Daily 1730 HRS
NASAL/THROAT/NASOPHARYNGEAL SWAB
630 8012 INFLUENZA B, PARA 6050 MULTIPLEX RT-PCR FOR 2 SWABS IN VTM F (EXCEPT SUNDAY 3 DAYS 1800 HRS
IN VTM
INFLUENZA, RSV & NOVEL INFLUENZA B, RSV AND AND HOLIDAYS)
H1N1 VIRUS) PARAINFLUENZA
Whole Blood
EDTA WHOLE BLOOD/EDTA PLASMA +
631 RD1438 COMT GENOTYPING 30000 PCR Sequencing 2-3 ML (A)/PLASMA 2: 0930 HRS 7 DAYS
CLINICAL HISTORY
(F)
CONNEXIN 30 MUTATION
632 RD1427 4600 DNA SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5.0 ML (3.0 ML) AMBIENT 4: 0930 HRS 8 DAYS
DETECTION
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (48
3.0 ML (1.0 ML) + 1.0
633 1120 COOMBS DIRECT TEST 600 TUBE AGGLUTINATION WB-EDTA MANDATORY HRS),>48 HRS - DAILY :1630 HRS SAME DAY
ML (0.5 ML)
20 °C
2-8°C (48
3.0 ML (1.0 ML) + 1.0
634 1121 COOMBS INDIRECT TEST 650 TUBE AGGLUTINATION SERUM MANDATORY HRS),>48 HRS - DAILY :1630 HRS SAME DAY
ML (0.5 ML)
20 °C
2-8°C (48
COOMBS TITRE (Rh ANTIBODY 3.0 ML (1.0 ML) + 1.0
635 1121T 1100 TUBE AGGLUTINATION SERUM MANDATORY HRS),>48 HRS - DAILY :1630 HRS SAME DAY
TITRE) ML (0.5 ML)
20 °C
2-8°C (7
BD RED TOP VACCUTAINER, CENTRIFUGE,
COPPER REFLEX TO DAYS); F (> 7
SEPARATE SERUM,( AGE + SEX COPPER : 3,6 11:30
CERULOPLASMIN DAYS-90 COPPER 5th,2nd Day,
GFAAS WITH ZEEMAN MANDATORY) +2 ALIQUOT REQUIRED, 10 - HRS,
636 9202RFX (CERULOPLASMIN WILL BE 2500 1.0 ML (0.8 ML) DAYS, IF F SAME DAY:
CORRECTION/NEPHELOMETRY 12 HRS FASTING SERUM + CLINICAL CERULOPLASMIN
PERFORMED IF LOW VALUE WITHIN 24 CERULOPLASMIN
HISTORY + (AGE & GENDER IS 3,5:12:00 HRS
OF COPPER) HRS. OF
MANDATORY)
COLLECTION)

24 HR URINE IN METAL FREE JERRY CAN


AVAILABLE FROM SRL (NO PRESERVATIVE).
24 HRS VOLUME SHOULD BE
COMPULSARILY SPECIFIED . FIRST SHAKE
THE CAN AND TAKE THE 10-20 ML 2-8°C (5
GFAAS WITH ZEEMAN
637 9144U24 COPPER, 24 HRS URINE 2150 ALIQUOT IN METAL FREE SCINTILLATION 10-20 ML (5 ML) DAYS); F “3”,”6” 11:30 HRS 5th,2nd Day
CORRECTION
VIAL AVAILABLE OR STERILE URINE (>5 -30 DAYS)
CONTAINER BOTH AVAILABLE FROM SRL
(NO PRESERVATIVE) THE MEASUREMENT
OF URINE VOLUME SHOULD BE DONE
AFTER ALIQUOTING.

BD RED TOP VACCUTAINER, CENTRIFUGE, 2-8°C


GFAAS WITH ZEEMAN
638 9144 COPPER, SERUM 2100 SEPARATE SERUM, AGE + SEX 2.0 ML (1 ML) (7DAYS); F (>7 “3”,”6” 11:30 HRS 5th,2nd Day
CORRECTION
MANDATORY -30 DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
639 9144U COPPER, URINE SPOT 2200 10-20 ML (5 ML) DAYS); F “3” ,”6” 11:30 HRS 5th,2nd Day
CORRECTION ml) VACCUTAINER COLLECTION WILL NOT
(>5 -30 DAYS)
BE ACCEPTED
CORONARY RISK PROFILE
640 1209AD 700 SPECTROPHOTOMETRY 14 HRS. FASTING SERUM SERUM 4 ML RED DAILY SAME DAY
(LIPID PROFILE), S
CORONARY RISK PROFILE DAILY:18:30
EXTENDED (E CROP) SERUM 12-14 HRS FASTING + CLINICAL 2-8°C HRS(For LIPID);
NEPHELOMETRY /
641 1209E (CORONARY RISK PROFILE 2600 HISTORY + (AGE & GENDER IS 3.0 ML (2.0 ML) (2DAYS); F ( DAILY:16.30 HRS SAME DAY
SPECTROPHOTOMETRY
+APOLIPOPROTEIN MANDATORY) >2 DAYS) (APOLIPOPROTEIN
EVALUATION) & LIPOPROTEIN)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM HAS TO BE COLLECTED BETWEEN
2-8°C (48 DAILY (MON TO
7:00-9:00 AM AND 3:00-5:00 PM.
642 3128 CORTISOL 700 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F (>48 SAT): SAME DAY
(CLINICAL HISTORY AND COLLECTION TIME
HRS) 0500,1430,1600 hrs
REQUIRED )
URINE -24 HRS, TO BE STORED IN
REFRIGERATED CONDITION DURING 10.0 ML ALIQUOT 2-8°C (48 DAILY (MON TO
643 3128U CORTISOL FREE, Urine 900 CHEMILUMINESCENCE COLLECTION (WITHOUT PRESERVATIVE) (SPECIFY 24 HR VOL HRS); F (>48 SAT): SAME DAY
(CLINICAL HISTORY AND 24 HRS VOLUME ON TRF) HRS) 0500,1430,1600 hrs
REQUIRED)
WB-HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS + FAMILY HISTORY +
COUPLE KARYOTYPING - 5.0 ML (3.0 ML)
644 7535 5000 CELL CULTURE CLINICAL HISTORY IN SPECIFIED FORMAT + A DAILY: 0700 HRS 12 working days
(PBLC) EACH
DETAILED PHYSICAL FEATURES + DOCTOR
CONTACT NO. (MANDATORY)
COXSACKIE ANTIBODY - IGG,
645 2547I 4000 EIA SERUM 2.0ML(1.0ML) R/F TUESDAY 09:00HRS 3 DAYS
SERUM
COXSACKIE ANTIBODY - IGM,
646 2548I 4000 EIA SERUM 2.0ML(1.0ML) R/F TUESDAY 09:00HRS 3 DAYS
SERUM
FASTING SERUM (FREEZE SERUM
DAILY (MON TO
SPECIMEN IMMEDIATELY AFTER FROZEN: UP
647 3140 C-PEPTIDE 1200 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
SEPARATION) CLINICAL HISTORY TO 2 WEEKS
0500,1430,1600 hrs
REQUIRED
C-REACTIVE PROTEIN, SERUM
648 1535N 550 NEPHELOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
(QUANTITATIVE)
2-8°C (1 DAY);
SERUM (CLINICAL HISTORY + AGE &
649 3615D CREATINE KINASE - MB 600 SPECTROPHOTOMETRY 2.0 ML (1.0 ML) F (> 1 DAY- 1 DAILY: 1830 hrs SAME DAY
GENDER IS MANDATORY)
MONTH)
CREATINE KINASE (CPK),
650 3976H 450 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
SERUM
CREATININE CLEARANCE,
651 1322 450 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
SERUM AND URINE
652 1320HGFR CREATININE EGFR 220 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
SERUM [Samples should not be taken from
patients receiving therapy
CREATININE KINASE -MUSCLE with high biotin doses (i.e. > 5 mg/day) FROZEN: 3 DAILY (MON TO
653 3611 850 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) SAME DAY
BRAIN (CK-MB) until at least 8 hours MONTHS SAT):1600 hrs
following the last biotin administration]
+ Clinical History
URINE
654 1320UH CREATININE, 24HRS URINE 290 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
655 1320H CREATININE, SERUM 240 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
INSPECTION, PHYSICAL SERUM-AMBIENT ONLY / COLD 2 - 8
656 1158CG CRYOGLOBULIN-QUALITATIVE 1150 2.0 ML (1.0 ML) A DAILY:13:00 HRS NEXT DAY
(HEATING) DEGREE CELCIUS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C -3
657 9189 CRYPTOCOCCUS ANTIGEN 2000 IMMUNOCHROMATOGRAPHY SERUM 1.0 ML (0.5 ML) days,>3 days: - DAILY:1530 HRS SAME DAY
20°C
A /For
CRYPTOCOCC
CRYPTOCOCCUS ANTIGEN CULTURE: PRELIM. 7TH
US ANTIGEN
DETECTION IF NEGATIVE BACTEC CULTURE DAY, FINAL 21ST DAY,
658 9209RFX 1200 CSF 1.0 ML (0.5 ML) DETECTION : 2- DAILY:1530 HRS
REFLEX CSF FUNGAL /IMMUNOCHROMATOGRAPHY Antigen detection : same
8°C - 3
CULTURE Day
days,>3 days: -
20°C
2-8°C -3
CRYPTOCOCCUS ANTIGEN,
659 9189C 2750 IMMUNOCHROMATOGRAPHY CSF 1.0 ML (0.5 ML) days,>3 days: - DAILY:1530 HRS SAME DAY
CSF
20°C
3.0 ML + 5.0 ML (3.0
CRYPTOCOCCUS ML) + 2.0 ML (1.0
SPUTUM / CSF / FLUIDS / TISSUES+
660 9188 NEOFORMANS DNA 7600 PCR-SEQUENCING ML) + 2.0 ML (1.0 A 1,4: 0930 HRS 3,6 : 1800 HRS
CLINICAL HISTORY
DETECTOR ML) + 1.0 GM (0.5
GM)
CRYPTOSPORIDIUM ANTIGEN
RAPID
661 7661 DETECTION FROM STOOL: 1500 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML R DAILY :16:00 HRS SAME DAY
IMMUNOCHROMATOGRAPHY
RAPID CARD TEST

CSF + SERUM SPECIMEN COLLECTION: IT IS


MONDAY &
CSF,MEASELS (RUBEOLA), IGG MANDATORY TO SEND SERUM ALONG 2.0 (1.0ML)ML + 3.0
662 5198 3000 EIA R THURSDAY: 4TH DAY
ANTIBODIES WITH THE CSF SAMPLE. IF NOT RECEIVED ML(1.0ML)
0900HRS
WILL BE CREATED AS A PROBLEM SAMPLE.
CULTURE & SENSITIVITY: STERILE
663 SP1640 850 MANUAL & MICROSCAN SPUTUM 2-5 ML DAILY 2 DAYS
SPUTUM CONTAINER
CULTURE & SENSITIVITY:
664 SP1641 850 MANUAL & MICROSCAN THROAT SWAB THROAT SWAB STERILE SWAB DAILY 2 DAYS
THROAT SWAB

CULTURE & SENSITIVITY: STERILE URINE


665 SP1642 850 MANUAL & MICROSCAN URINE 20 ML DAILY 2 DAYS
URINE VACCUTAINER

SCRAPINGS / PUS/ TISSUE IN SALINE-


CULTURE, AEROBIC - SCRAPINGS / 3.0 ML
666 1221 900 CULTURE STERILE CONTAINER (SWABS NOT R DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION (0.5 ML)
ACCEPTED)
THROAT SWAB FOR GRP A
CULTURE, BETA STREP STREPTOCOCCI,VAGINAL/RECTAL SWAB
667 1192 900 CULTURE 2 (1) SWABS A DAILY: 1700 HRS 3RD DAY
SCREEN FOR GRP B STREPTOCOCCI- IN STERILE
SCREW CAP VIAL
CULTURE, BLOOD, ISOLATION WB-HEPARIN /WB-SPS (SODIUM PRELIM. 24 HRS , FINAL
668 1193 900 CULTURE 5.0 ML (3.0 ML) A DAILY: 1700 HRS
& IDENTIFICATION POLYANETHANOL SULPHONATE) 7TH DAY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CULTURE, BLOOD, ISOLATION WB-HEPARIN / WB-SPS (SODIUM
CULTURE + SENSITIVITY BY MIC PRELIM. 24 HRS, FINAL 7TH
669 1193cs & IDENTIFICATION + 900 POLYANETHANOL SULPHONATE) STERILE 5.0 ML (3.0 ML) A DAILY: 1700 HRS
BREAKPOINT DAY
SENSITIVITY CONTAINER

CULTURE, BODY FLUID,


670 1194 900 CULTURE FLUID-STERILE CONTAINER 3.0 ML (1.0 ML) R DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION

CULTURE, BODY FLUID,


CULTURE + SENSITIVITY BY MIC
671 1194cs ISOLATION & IDENTIFICATION 900 FLUID-STERILE CONTAINER 3.0 ML (1.0 ML) R DAILY: 1700 HRS 3RD DAY
BREAKPOINT
(CULTURE + SENSITIVITY)
CULTURE, CLOT - PRELIM. 3RD DAY, FINAL
672 1206 1200 CULTURE CLOTTED BLOOD IN PLAIN VACUTAINER 5.0 ML (3.0 ML) A DAILY: 1700 HRS
SALMONELLA SPECIES 7TH DAY
CULTURE, CSF-ISOLATION & PRELIM: SAME DAY; FINAL
673 1200 900 CULTURE CSF STERILE CONTAINER 2.0 ML (0.5 ML) A DAILY: 1700 HRS
IDENTIFICATION 3RD DAY
CULTURE, CSF-ISOLATION &
CULTURE + SENSITIVITY BY MIC PRELIM: SAME DAY; FINAL
674 1200CS IDENTIFICATION + 1000 CSF STERILE CONTAINER 2.0 ML (0.5 ML) A DAILY: 1700 HRS
BREAKPOINT 3RD DAY
SENSITIVITY
CULTURE, EAR, ISOLATION & EAR PUS /EAR SWAB IN STUARTS 2.0 ML (0.5 ML) / 2
675 1196 900 CULTURE A DAILY: 1700 HRS 3RD DAY
IDENTIFICATION TRANSPORT MEDIUM-STERILE CONTAINER (1) SWABS
CULTURE, EYE- ISOLATION & CORNEAL SCRAPINGS / CONJUCTIVAL SCRAPINGS / 1
676 1211 900 CULTURE A DAILY: 1700 HRS 3RD DAY
IDENTIFICATION SWAB - STERILE CONTAINER SWABS
CULTURE, EYE- ISOLATION &
CULTURE + SENSITIVITY BY MIC CORNEAL SCRAPINGS / CONJUCTIUAL 0.1 - 0.5 CMS / 3 (2)
677 1211CS IDENTIFICATION + 900 A DAILY: 1700 HRS 3RD DAY
BREAKPOINT SWAB-STERILE CONTAINER SWAB
SENSITIVITY

CULTURE, NASOPHARYNGEAL,
678 1213 900 CULTURE NASAL ASPIRATES IN STERILE CONTAINER 1.0 ML (0.3 ML) A DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION

CULTURE, RESPIRATORY- BAL /BRONCHOSCOPIC BIOPSY/ TRACHEAL


679 1214 900 CULTURE 3.0 ML (1.0) ML R DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION SECRETION IN STERILE CONTAINER

CULTURE, RESPIRATORY- BAL / BRONCHOSCOPIC BIOPSY /


CULTURE + SENSITIVITY BY MIC
680 1214CS ISOLATION & IDENTIFICATION 900 TRACHEAL SECRETION IN STERILE 3.0 ML (1.0) ML R DAILY: 1700 HRS 3RD DAY
BREAKPOINT
+ SENSITIVITY CONTAINER

CULTURE, SPUTUM - EXPECTORATED SPUTUM -STERILE


681 1217 900 CULTURE 3.0 ML (1.0) ML R DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION CONTAINER

CULTURE, SPUTUM -
STERILE
682 1217CS ISOLATION & IDENTIFICATION 900 MANUAL & MICROSCAN SPUTUM 2-5 ML DAILY 2 DAYS
CONTAINER
+ SENSITIVITY

CULTURE, STOOL AEROBIC -


683 5700 900 CULTURE STOOL-STERILE CONTAINER 10.0 (1.0) G / 1.0 ML R DAILY: 1700 HRS 4TH DAY
ISOLATION & IDENTIFICATION
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CULTURE, STOOL AEROBIC-
CULTURE + SENSITIVITY BY MIC
684 5700cs ISOLATION & IDENTIFICATION 900 STOOL-STERILE CONTAINER 10.0 (1.0) G / 1.0 ML R DAILY: 1700 HRS 4TH DAY
BREAKPOINT
(CULTURE + SENSITIVITY)

CULTURE, THROAT SWAB -


685 1219 900 CULTURE SWABS-STERILE CONTAINER 2 (1) SWABS A DAILY: 1700 HRS 3RD DAY
ISOLATION & IDENTIFICATION

CULTURE, THROAT SWAB -


686 1219CS ISOLATION & IDENTIFICATION 1000 MANUAL & MICROSCAN THROAT SWAB THROAT SWAB STERILE SWAB DAILY 2 DAYS
+SENSITIVITY

CULTURE, URINE - ISOLATION R


URINE (EARLY MORNING MID STREAM
687 1285 & IDENTIFICATION (WITH 720 CULTURE 3.0 ML (1.0) ML (MANDATORY DAILY: 1700 HRS 3RD DAY
COLLECTION) STERILE CONTAINER
COLONY COUNT) )

CULTURE, URINE - ISOLATION


& IDENTIFICATION (WITH STERILE URINE
688 1285CS 850 MANUAL & MICROSCAN URINE 20 ML DAILY 2 DAYS
COLONY COUNT) + VACCUTAINER
SENSITIVITY

CSF / BODY FLUID / URINE / SPECIMENS


OF BODY FLUIDS,PUS,TISSUE,NAIL
CLIPPINGS
SKIN SCRAPING,STOOL OR VAGINAL
MUCOUS MEMBRANES
CULTURE, YEAST SCREEN, AND SWABS FROM LESIONS SUSPECTED
PRELIM. 7TH DAY, FINAL
689 1222 ISOLATION & IDENTIFICATION 900 CULTURE & IDENTIFICATION OF INFECTIONS 5.0 ML (3.0 ML) R DAILY: 1700 HRS
21ST DAY
(API) DUE TO YEAST SHOULD BE COLLECTED
ASEPTICALLY IN A STERILE CONTAINER
AND TRANSPORTED TO THE LAB AS
SOON AS POSSIBLE. IN CASE OF DELAY IN
TRANSPORTATION
STERILE SALINE MAY BE ADDED.

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


CUSTOM LEUKEMIA PANEL
690 SP1144 6500 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN I BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
(FOUR SURFACE MARKERS)
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)

BM / WB- EDTA | BM / WB- HEPARIN | 3-4 CC (1CC) / 3-4 CC


CUSTOM LEUKEMIA PANEL
691 SP1909 7500 FLOW CYTOMETRY FLUID-EDTA I FLUID-HEPARIN/ BM / WB / (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
(SIX SURFACE MARKERS)
FLUIDS SMEARS + CLINICAL HISTORY / 3-4 CC (1CC)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
1] Require EDTA/Heparin Whole Blood to
be collected directly in relevant
vaccutainers only
(Label time of collection and
CYCLOSPORINE, administration of drug),preferably with
Tue,Thu, Sat at
692 4314I EDTA/HEPARIN WHOLE 3050 LCMSMS drug dose. 3.0 mL 2-8ºC Same day 19:00 hrs
13:00Hrs
BLOOD 2] MENTION LEVEL CO or C2 AS IT IS
MANDATORY FOR REPORTING ( trough or
peak)
3] DOCTOR CONTACT DETAILS AND
CLINICAL HISTORY IS MANDATORY
SERUM [Samples should not be taken from
patients receiving therapy
2-8°C (4
with high biotin doses (i.e. > 5 mg/day)
693 3938 CYFRA 21-1 3200 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) WEEKS); F 2:1600hrs SAME DAY
until at least 8 hours
(3MONTHS)
following the last biotin administration]
+ Clinical History

694 RD1311 CYP2C19 GENOTYPING 6700 PCR-SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3ML) A 4: 0930 HRS 10 DAYS

695 RD1439 CYP3A4*22 Genotyping 5300 PCR Sequencing EDTA WHOLE BLOOD + CLINICAL HISTORY 2-3 ML A 1: 0930 HRS 8 DAYS

2-8°C (7
DAYS); F (> 7
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
696 3149 CYSTATIN C 1400 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F 2,4,6: 1630 HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
CYSTIC FIBROSIS DELTA F508
697 RD1446 13000 PCR SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5.0 ML (3.0) A 5;10:30 AM 6 DAYS
GENE MUTATION
Cystic Fibrosis Extended
698 RD1460 30000 Sanger Sequencing EDTA WHOLE BLOOD + CLINICAL HISTORY 6 ML A 2; 10:30 AM 40 days
Mutation Panel
2-8º C (24
Enzyme Linked Immnunosorbent
699 9816C CYSTICERCUS IgG ANTIBODIES 2500 CSF 1.0 ML (0.5 ML) Hrs), >24 hrs 1: 1100 HRS SAME DAY
assay
Frozen
2-8º C (1
Enzyme Linked Immnunosorbent
700 9816S CYSTICERCUS IgG ANTIBODIES 2000 SERUM 1.0 ML (0.5 ML) week), >1 1: 1100 HRS SAME DAY
assay
week- 20 °C
CYTOCHEMISTRY PANEL FOR FRESH, AIR DRIED, UNSTAINED
LEUKEMIAS (PERIODIC ACID CYTOCHEMISTRY SPECIAL REPRESENTATIVE BONE MARROW MINIMUM 6
701 Z208 2300 A DAILY:1100 HRS 3RD DAY
SCHIFF,SUDAN BLACK B and STAINS ASPIRATE / PERIPHERAL BLOOD SMEARS + SMEARS BMA / PBS
MYELOPEROXIDASE) CLINICAL HISTORY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
BONE MARROW OR WB SODIUM HEPARIN
SPECIMEN TO REACH US WITH 48 HRS +
CLINICAL HISTORY [PLEASE MENTION THE 4.0 ML OR 3.0 ML
702 6017F CYTOGENETICS: DEL 13q 6000 FISH A DAILY: 7.00 HRS 5TH DAY
CLINICAL HISTORY, BLOOD PICTURE (CBC BONE MARROW
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]
WB HEPARIN SPECIMEN TO REACH US
WITHIN 48 HRS + CLINICAL HISTORY,
CYTOGENETICS: FANCONI
703 5812 8100 KARYOTYPE CELL CULTURE SPECIMAN OF AGE AND SEX MACTCHED 8.0 ML A DAILY: 7.00 HRS 21 DAYS
ANEMIA
CONTROL SAMPLE IS STRONGLY
RECOMMENDED.
WB HEPARIN SPECIMEN TO REACH US
CYTOGENETICS: FRAGILE X
704 5364B 7300 KARYOTYPE CELL CULTURE WITHIN 48 HRS + CLINICAL HISTORY IN 5.0 (3.0) ML A DAILY: 7.00 HRS 21 TH DAY
CHROMOSOME ANALYSIS
SPECIFIED FORMAT
BIOPSIES SOULD BE FIXED FOR 24-48
HOURS IN 10% BUFFERED FORMALIN &
EMBEDDED IN PARAFFIN. TISSUE SHOULD
BE 4 MICRONS THICK & PLACED ON
POSITIVELY CHARGED SLIDES. 3 SLIDES /
705 6006F CYTOGENETICS: HER2/neu 14000 FISH NOT APPLICABLE A DAILY: 7.00 HRS 5TH DAY
SAMPLES CONTAINING MALIGNANT
TISSUE. * TIME AND DURATION OF
FIXATION SHOULD BE MENTIONED ON THE
TRF.* CLINICAL DETAILS IN SPECIFIED
FORMAT

BONE MARROW OR WB SODIUM HEPARIN


SPECIMEN TO REACH US WITH 48 HRS +
CLINICAL HISTORY [PLEASE MENTION THE
706 6015F CYTOGENETICS: Inv(16) 6000 FISH 4.0 ML + 2.0 ML A DAILY: 7.00 HRS 5TH DAY
CLINICAL HISTORY, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]

BONE MARROW OR WB SODIUM HEPARIN


SPECIMEN TO REACH US WITH 48 HRS +
CLINICAL HISTORY [PLEASE MENTION THE
707 6018F CYTOGENETICS: MDS PANEL 8000 FISH 6.0 ML+8.0 ML A DAILY: 7.00 HRS 5TH DAY
CLINICAL HISTORY, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]

BONE MARROW OR WB SODIUM HEPARIN


SPECIMEN TO REACH US WITH 48 HRS +
CYTOGENETICS: MLL 11q CLINICAL HISTORY [PLEASE MENTION THE
708 6019F 4300 FISH 4.0 ML + 2.0 ML A DAILY: 7.00 HRS 5TH DAY
rearrangement CLINICAL HISTORY, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB-HEPARIN SPECIMEN TO REACH US IN
CYTOGENETICS: NEONATAL
24 – 48 HRS / CORD BLOOD- HEPARIN (If
709 5815 KARYOTYPING (NEWBORN TO 3500 KARYOTYPE CELL CULTURE 4.0 ML (2.0 ML) A DAILY: 7.00 HRS 12 WORKING DAYS
baby is alive)+CLINICAL HISTORY in
ONE MONTH OLD CHILD)
specified format
BONE MARROW OR WB SODIUM HEPARIN
SPECIMEN TO REACH US WITH 48 HRS +
CYTOGENETICS: PML Ra Ra CLINICAL HISTORY [PLEASE MENTION THE
710 6003F 6000 FISH 4.0 ML + 2.0 ML A DAILY: 7.00 HRS 5TH DAY
t(15:17) CLINICAL HISTORY, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]

AMINOTIC FLUID + DULY FILLED AMNIOTIC


FLIUD TRF + CLINICAL HISTORY. CONSENT
CYTOGENETICS: PRENATAL
711 5832F 8000 FISH FORM WITH PND REGISTRATION NUMBER 20 ML A DAILY: 7.00 HRS 5th Day
AMNIOTIC FLUID FISH
MANDATORY. SPECIMEN SHOULD REACH
US IN 24 HRS AFTER COLLECTION

AMINOTIC FLUID + DULY FILLED AMNIOTIC


CYTOGENETICS: PRENATAL FLIUD TRF + CLINICAL HISTORY. CONSENT
712 5832K AMNIOTIC FLUID 12400 KARYOTYPING FORM WITH PND REGISTRATION NUMBER 20 ML A DAILY: 7.00 HRS 14 WORKING DAYS
KARYOTYPING MANDATORY. SPECIMEN SHOULD REACH
US IN 24 HRS AFTER COLLECTION

AMINOTIC FLUID + DULY FILLED AMNIOTIC


CYTOGENETICS: PRENATAL FLIUD TRF + CLINICAL HISTORY. CONSENT
713 5832 AMNIOTIC FLUID 17500 KARYOTYPING + FISH FORM WITH PND REGISTRATION NUMBER 20 ML (15 ML) A DAILY: 7.00 HRS 14-18 days
KARYOTYPING + FISH MANDATORY. SPECIMEN SHOULD REACH
US IN 24 HRS AFTER COLLECTION

CHORIONIC VILLUS IN MEDIUM+TRF


CYTOGENETICS: PRENATAL
CONSENT FORM WITH PND REGISTRATION
714 5833F CHORIONIC VILLUS BIOPSY 4300 FISH 30.0 (40.0) MG A DAILY: 7.00 HRS 5TH DAY
NUMBER MANDATORY. SPECIMEN TO
FISH
REACH US IN 24 HRS AFTER COLLECTION

CHORIONIC VILLUS IN MEDIUM,


CYTOGENETICS: PRENATAL BIOPSY+CLINICAL HISTORY CONSENT
715 5833K CHORIONIC VILLUS BIOPSY 11000 KARYOTYPING FORM WITH PND REGISTRATION NUMBER 40 MG (30 MG) A DAILY: 7.00 HRS 14-18 days
KARYOTYPING MANDATORY. SPECIMEN TO REACH US IN
24 HRS AFTER COLLECTION
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
CHORIONIC VILLUS IN MEDIUM, BIOPSY IN
CYTOGENETICS: PRENATAL
MEDIUM+CLINICAL HISTORY CONSENT
CHORIONIC VILLUS BIOPSY
716 5833 19000 KARYOTYPING + FISH FORM WITH PND REGISTRATION NUMBER 40 MG (30 MG) A DAILY: 7.00 HRS 14-18 days
KARYOTYPING + FISH (Need to
MANDATORY. SPECIMEN TO REACH US IN
ask the dept for medium)
24 HRS AFTER COLLECTION

FETAL CORD BLOOD WITH SODIUM


HEPARIN +CLINICAL HISTORY. CONSENT
CYTOGENETICS: PRENATAL
717 5831F 4500 FISH FORM WITH PND REGISTRATION NUMBER 4.0 ML A DAILY:1200 HRS 5TH DAY
FETAL CORD BLOOD FISH
MANDATORY. SPECIMEN TO REACH US IN
24 HRS AFTER COLLECTION

FETAL CORD BLOOD WITH SODIUM


CYTOGENETICS: PRENATAL HEPARIN +CLINICAL HISTORY. CONSENT
718 5831K FETAL CORD BLOOD 5500 KARYOTYPING FORM WITH PND REGISTRATION NUMBER 4.0 ML A DAILY:7:00 HRS 14-18 days
KARYOTYPING MANDATORY. SPECIMEN TO REACH US IN
24 HRS AFTER COLLECTION

FETAL CORD BLOOD WITH SODIUM


CYTOGENETICS: PRENATAL HEPARIN +CLINICAL HISTORY. CONSENT
719 5831 FETAL CORD BLOOD 14500 KARYOTYPING + FISH FORM WITH PND REGISTRATION NUMBER 4.0 ML A DAILY:7:00 HRS 14-18 days
KARYOTYPING + FISH MANDATORY. SPECIMEN TO REACH US IN
24 HRS AFTER COLLECTION
IST TRIMESTER - CHORIONIC VILLI; 2ND OR
3RD TRIMESTER - PLACENTAL VILLI
10 GM CHORIONIC
(PLEASE SEND CLINICAL HISTORY IN
VILLI IN 2 STERILE
SPECIFIED FORMAT
RED TOP
CHORIONIC VILLI
VACCUTAINERS,
OR HEART BLOOD
CYTOGENETICS: PRODUCT OF CONTAINING
720 5818 8500 KARYOTYPING OR FISH OR CORD BLOOD A/R DAILY 12:00HRS 14 -20 days
CONCEPTION (POC) STERILE SALINE
IF NONE OF THESE ARE AVAILABLE, THEN A
WITH 3-4 DROPS OF
SMALL PIECE OF FOETAL SKIN (THIGH,
PROCAINE
STOMACH, ARMS)
PENICILLIN OR
FOR CHROMOSOMAL ANALYSIS/FISH
GENTAMICIN
Don't send full fetus to the dept. It will not
be acceptable.
BONE MARROW OR WB SODIUM HEPARIN
SPECIMEN TO REACH US WITH 48 HRS +
CLINICAL HISTORY [PLEASE MENTION THE
721 6021F CYTOGENETICS: TEL/AML 5700 FISH 6.0 ML + 2.0 ML A DAILY: 7.00 HRS 7TH DAY
CLINICAL HISTORY, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
722 Z259K CYTOKERATIN - 19 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN - 20
723 Z059K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN - 5/6
724 Z221K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN - 7
725 Z060K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
726 Z054K CYTOKERATIN 18 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
727 Z053K CYTOKERATIN 8 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN-HMW, 34BE12
728 Z045K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(SQUAMOUS)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
CYTOKERATIN-LMW, 35BH11
729 Z046K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(NON SQUAMOUS)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
CYTOMEGALOVIRUS DNA
730 7575 5000 POLYMERASE CHAIN REACTION WB-EDTA / CSF 3.0 ML (1.0 ML) A 2,4,6 : 8 HRS 4, 6, 2: 1900HRS
DETECTOR
2-8º C SAME DAY(AVIDITY WILL
CYTOMEGALOVIRUS IgG & Enzyme Linked Immnunosorbent
731 9436 1550 SERUM 1.0 ML (0.5 ML) (4DAYS), >4 DAILY: 0300 am BE REPORTED IF IgG AND
IgM ANTIBODIES assay
DAYS- 20 °C IgM BOTH POSITIVE)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8º C
CYTOMEGALOVIRUS IgG Enzyme Linked Immnunosorbent
732 9431 700 SERUM 1.0 ML (0.5 ML) (4DAYS), >4 DAILY: 0300 am SAME DAY
ANTIBODIES assay
DAYS- 20 °C
2-8º C
CYTOMEGALOVIRUS IGG Enzyme Linked Immnunosorbent
733 9432 1100 SERUM 1.0 ML(0.5 ML) (4DAYS), >4 DAILY: 0300 am SAME DAY :1230 HRS
AVIDITY assay
DAYS- 20 °C
2-8º C
CYTOMEGALOVIRUS IgM Enzyme Linked Immnunosorbent
734 2486M 700 SERUM 1.0 ML (0.5 ML) (4DAYS), >4 DAILY: 0300 am SAME DAY
ANTIBODIES assay
DAYS- 20 °C
D3- SERUM + (CLINICAL HISTORY + AGE &
735 6152 3000 SPECTOPHOTOMETRY 2.0 ML (1.0 ML) 2-8°C (7 DAYS) 3,5 : 12:00 HRS SAME DAY
HYDROXYBUTYRATE(RANBUT) GENDER IS MANDATORY)

F (TO BE F
FASTING, CITRATED PLATELET POOR IMMEDIATELY
LATEX PARTICLE TWO ALIQOUTS OF
736 4200 D-DIMER(Semi Quantitative) 1600 PLASMA* - AT MINUS 20° C*(DOUBLE AT -20°C & DAILY:1630 HRS SAME DAY
AGGLUTINATION 1.5 ML EACH
CENTRIFUGED PLASMA)* TRANSPORTE
D IN DRY ICE)
2-8°C (24
DEHYDROEPIANDROSTERONE
737 3146 3200 RADIO IMMUNOASSAY SERUM (CLINICAL HISTORY REQUIRED ) 2.0 ML (1.0 ML) HRS); F (2 3,6:1300 hrs. SAME DAY
(DHEA)
months)
2-8°C (48 DAILY (MON TO
DEHYDROEPIANDROSTERONE-
738 3150 1200 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED ) 1.0 ML (0.5 ML) HRS), F (> 48 SAT): SAME DAY
SULFATE (DHEAS)
HRS) 0500,1430,1600 hrs

A ( for
DAILY: 15: 30 HRS;
IMMUNOCHROMATOGRAPHY dengue abs 2-
DENGMAL (Dengue Abs 5.0 ML + 3.0 ML + 2 DENGUE (RAPID):
739 DT3210 2100 /MICROSCOPY/ AUTOMATED WB-EDTA + SERUM + SMEAR 8 d C upto 3 SAME DAY
(Rapid), MP, CBC ) SMEAR 17: 00 HRS FOR
CELL COUNTER days and > 3
CBC, MP
days: -20 d C )
RAPID
740 7599R DENGUE DUO RAPID TEST 1700 IMMUNOCHROMATOGRAPHIC SERUM 1 ML RED/GEL DAILY SAME DAY
METHOD
2-8º C (2
Enzyme Linked Immnunosorbent
741 7648 DENGUE NS1 ANTIGEN TEST 990 SERUM 1.0 ML(0.5 ML) DAYS), 6:100 HRS SAME DAY 1800 HRS
assay
>2DAYS- 20 °C

742 7602 DENGUE RNA PCR 3900 REVERSE TRANSCRPTASE PCR EDTA PLASMA/CSF 1.0 ML (0.5 ML) F 3:1000 HRS NEXT DAY : 1800 HRS
2-8°C -3
DENGUE VIRUS IgG & IgM
743 7600 1850 IMMUNOCHROMATOGRAPHY SERUM 1.0 ML (0.5 ML) days,>3 days: - DAILY: 15:30 HRS SAME DAY
ANTIBODIES, QUALITATIVE
20°C
2-8º C (2
DENGUE VIRUS IgG Enzyme Linked Immnunosorbent
744 7601 850 SERUM 1.0 ML (0.5 ML) DAYS), 2,4,6:1030 HRS SAME DAY
ANTIBODIES, assay
>2DAYS- 20 °C
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8º C (2
DENGUE VIRUS IgM Enzyme Linked Immnunosorbent
745 7646 900 SERUM 1.0 ML (0.5 ML) DAYS), 2,4,6:10.30 HRS SAME DAY
ANTIBODIES assay
>2DAYS- 20 °C

EDTA 5ML, PLASMA


GREY+ URINE
PLASMA FLOURIDE (F+PP), URINE (F+PP), FLOURIDE (F+PP)
746 3180DS DIABETA SCREEN 610 SPECTOPHOTOMETRY, HPLC CONTAINER+ DAILY SAME DAY
EDTA PLASMA 2ML EACH, URINE
PURPLE
(F+PP) 5ML EACH,

EDTA 5ML, PLASMA


GREY+ URINE
PLASMA FLOURIDE (F+PP), URINE (F+PP), FLOURIDE (F+PP)
747 3180DSN DIABETA SCREEN 610 SPECTOPHOTOMETRY, HPLC CONTAINER+ DAILY SAME DAY
EDTA PLASMA 2ML EACH, URINE
PURPLE
(F+PP) 5ML EACH,

FLUORIDE
WB-EDTA 3.0 (2.0)
PLASMA : 2-
ML, FASTING SERUM
8°C (3 DAYS);
2.0 (1.0) ML,
WB-EDTA, SERUM (12-14 HRS FASTING), EDTA WB 2-
DIABETES MELLITUS PANEL II FASTING PLASMA -
FASTING PLASMA - FLUORIDE, PP PLASMA - 8°C (7 DAYS);
(Glucose F & PP, Glyco Hb, FLUORIDE 1.5(1.0)
SPECTROPHOTOMETRY, HPLC, FLUORIDE, FASTING URINE, 24 HR OR 12 SERUM : 2-8°C
Creatinine, Microalbuminuria, ML, PP PLASMA -
748 DT9201 1800 IMMUNOTURBIDIMETRY, HOUR URINE COLLECTION(WITHOUT (2 DAYS); F (> DAILY: 1830 hrs SAME DAY
Cholesterol, HDL Cholesterol, FLUORIDE 1.5 (1.0)
DIPSTICK & MICROSCOPY PRESERVATIVE & REFRIGERATE DURING 2 DAYS);
LDL Cholesterol, Triglycerides, ML, FASTING URINE
COLLECTION) OR RANDOM URINE + (AGE URINE
Uric acid, Urinalysis) 15.0ML (10.0) ML,
& GENDER IS MANDATORY) FASTING/RAN
24 HRS /12 HRS/
DOM OR
RANDOM URINE
24HRS/12HRS:
15.0 ML(10.0 ML)
2-8°C(24 HRS)

EDTA 5ML, SERUM


5ML, PLASMA RED+ URINE
SPECTOPHOTOMETRY, HPLC,
PLASMA FLOURIDE (F+PP),URINE (F+PP), FLOURIDE (F+PP) CONTAINER+
749 1579 DIABETES MONITOR 1750 DIPSTICK/ MANUAL DAILY SAME DAY
SERUM (F), EDTA WB 2ML EACH, URINE GREY+
MICROSCOPY
(F+PP) 5ML EACH, PURPLE
URINE 24 HRS
EDTA 5ML,SERUM
5ML, PLASMA RED+ URINE
SPECTOPHOTOMETRY, HPLC,
PLASMA FLOURIDE (F+PP), URINE (F+PP), FLOURIDE (F+PP) CONTAINER+
750 1579A DIABETES MONITOR 1750 DIPSTICK/ MANUAL DAILY SAME DAY
SERUM (F), EDTA WB 2ML EACH, URINE GREY+
MICROSCOPY
(F+PP) 5ML EACH, PURPLE
URINE 24 HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

FASTING SERUM - FLUORIDE


3.0 (2.0) ML, WB- PLASMA : 2-
EDTA - 3.0 (2.0) ML, 8°C (3 DAYS);
DIABETES MONITORING 12-14 HRS FASTING SERUM, WB-EDTA, FASTING FLUORIDE EDTA WB 2-
DAILY: 1830 hrs
PANEL (Glucose F & PP, Glyco FASTING FLUORIDE PLASMA, PP FLUORIDE PLASMA - 1.5 (1.0) 8°C (7 DAYS);
SPECTROPHOTOMETRY, (FOR BIOCHEM
HB, Urinalysis, Insulin, PLASMA, URINE FASTING, URINE 24 HR OR ML PP FLUORIDE SERUM : 2-8°C
DIPSTICK & MICROSCOPY, TESTS),
751 DT9200 Microalbuminuria, 2400 12 HOUR COLLECTION (WITHOUT PLASMA - 1.5 (1.0) (24 hrs); F (> SAME DAY
CHEMILUMINESCENCE, DAILY (MON TO
Cholesterol, HDL Cholesterol, PRESERVATIVE & REFRIGERATE DURING ML, FASTING URINE - 24 hrs);
HPLC,IMMUNOTURBIDIMETRY SAT): 0500, 1600
LDL Cholesterol, Creatinine, COLLECTION) OR RANDOM URINE + (AGE 15.0 (10.0) ML, URINE
hrs for Insulin.
Triglycerides, Uric acid) & GENDER IS MANDATORY) URINE - 10.0 ML OF FASTING/RAN
24 HRS /12 HRS/ DOM OR
RANDOM URINE 24HRS/12HRS:
15.0 ML(10.0 ML) 2-8°C(24 HRS)

EDTA 5ML, SERUM


RED+ URINE
SPECTOPHOTOMETRY, HPLC, 5ML, PLASMA
PLASMA FLOURIDE (F+PP), URINE (F+PP), CONTAINER+
752 1575 DIABETES PROFILE 1550 DIPSTICK/ MANUAL FLOURIDE (F+PP) DAILY SAME DAY
SERUM (F), EDTA WB GREY+
MICROSCOPY 2ML EACH, URINE
PURPLE
(F+PP) 5ML EACH
EDTA 5ML, SERUM
RED+URINE
SPECTOPHOTOMETRY, HPLC, 5ML, PLASMA
PLASMA FLOURIDE (F+PP), URINE (F+PP), CONTAINER+
753 1575C DIABETES PROFILE 1550 DIPSTICK/ MANUAL FLOURIDE (F+PP) DAILY SAME DAY
SERUM (F), EDTA WB GREY+
MICROSCOPY 2ML EACH, URINE
PURPLE
(F+PP) 5ML EACH
F (TO BE F
FASTING, CITRATED PLATELET POOR TWO ALIQOUTS OF IMMEDIATELY
DIC PROFILE (PT, APTT, TT, CLOT BASED / LATEX
PLASMA - AT MINUS 20° C, WB- EDTA - 1.5 ML EACH + 3.0 AT -20°C &
754 3896 Fibrinogen, FDP, D- DIMER, 5850 AGGLUTINATION / AUTOMATED DAILY:1630 HRS SAME DAY
(A), BLOOD SMEAR - (A) * (DOUBLE (2.0) ML EDTA TRANSPORTE
Platelet count) CELL COUNTER
CENTRIFUGED PLASMA)* BLOOD + 2.0 PS D IN DRY ICE)
/A
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
DIFFERENTAIL DIAGNOSIS OF
755 Z218 6300 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
MEDIASTINAL MASS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
DI-GEORGE SYNDROME (22q HEPARIN WHOLE BLOOD + CLINICAL
756 6022F 6300 FISH 3.0 ML ( 2.0 ML) AMBIENT DAILY 07:00 HRS 6TH DAY
deletion) HISTORY
SERUM DRAWN 8HRS POST DAILY (MON TO
2-8°C (48 hrs);
757 1548H DIGOXIN (lanoxin) 1000 CHEMILUMINESCENCE ADMISISTRATION (TREATMENT HISTORY 1.0 ML (0.5 ML) SAT): SAME DAY
F (>48 hrs)
REQUIRED) 0500,1430,1600 hrs
2-8°C (24
DIHYDROTESTOSTERONE Enzyme Linked Immnunosorbent
758 3151 2300 SERUM 1.0 ML (0.5 ML) HRS), >24 5: 1100 HRS SAME DAY
(DHT) assay
HRS -20°C
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8º C (2
Enzyme Linked Immnunosorbent
759 9964 DIPTHERIA IGG ABS,SERUM 4500 SERUM 2.0ML(1.0ML) days), >2 days- 5:1100HRS SAME DAY
assay
20 °C
760 1533D DIRECT LDL 500 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
1 BLOCK
DNA PLOIDY & CELL CYCLE PARAFFIN BLOCK ( ONLY BREAST TUMOR ) 7 TH DAY TURNAROUND &
761 5400K 5000 FLOW CYTOMETRY (REPRESENTATIVE A DAILY:1530 HRS
ANALYSIS + CLINICAL HISTORY 1800 HRS TAT
TISSUE)
2ND AND 4TH
762 1406 DOPAMINE 4000 ELISA EDTA PLASMA 2.0ML (1.0ML) F WEDNESDAY 6 DAYS
07:00HRS
DPD GENE MUTATIONS
(Dihydropyrimidine
763 8384 13000 PCR-SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3 ML) A 1: 0930 HRS 6: 1830 HRS
Dehydrogenase Gene
Mutation)
764 RD1326 DRPLA Gene analysis 5250 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 9 DAYS

DRUGS OF ABUSE: 5 DRUGS A (8HRS); 2- 8° DAILY (MON TO


FLOW CHROMATOGRAPHIC
765 4133 (Opiates, PCP, Cocaine, 2400 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
IMMUNOASSAY
Cannabinoids, Amphetamine) (>3 DAYS) hrs

DRUGS OF ABUSE: 6 DRUGS


A (8HRS); 2- 8° DAILY (MON TO
(Opiates, PCP, Cocaine, FLOW CHROMATOGRAPHIC
766 4132 3100 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
Cannabinoids, Amphetamine, IMMUNOASSAY
(>3 DAYS) hrs
Barbiturates)

DRUGS OF ABUSE: 9 DRUGS


(Opiates, PCP, Cocaine,
A (8HRS); 2- 8° DAILY (MON TO
Cannabinoids, Amphetamine, FLOW CHROMATOGRAPHIC
767 4131 4500 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
Barbiturates, IMMUNOASSAY
(>3 DAYS) hrs
Benzodiazepines, Methodone,
Propoxyphene)

A (8HRS); 2- 8° DAILY (MON TO


DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
768 4134U 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
AMPHETAMINE IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
769 4135U 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
BARBITURATES IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
770 4136U 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
BENZODIAZEPINES IMMUNOASSAY
(>3 DAYS) hrs
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
A (8HRS); 2- 8° DAILY (MON TO
DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
771 4137U 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
CANNABINOIDS IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


FLOW CHROMATOGRAPHIC
772 4140 DRUGS OF ABUSE: COCAINE 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
773 4130 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
METHAMPHETAMINE IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
774 4152 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
METHAQUOLONE IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


FLOW CHROMATOGRAPHIC
775 4138U DRUGS OF ABUSE: OPIATES 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
776 4139 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
PHENYCYCLIDINE (PCP) IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
777 4148 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
PROPOXYPHENE IMMUNOASSAY
(>3 DAYS) hrs

A (8HRS); 2- 8° DAILY (MON TO


DRUGS OF ABUSE: FLOW CHROMATOGRAPHIC
778 4101 1200 URINE + CLINICAL HISTORY 10.0 ML (5.0 ML) C (3 DAYS);F SAT): 1430, 1600 SAME DAY
TETRAHYDROCANNABINOL IMMUNOASSAY
(>3 DAYS) hrs

DsDNA (Reflex to end titre for INDIRECT IMMUNOFLUROSCENT DAILY :1100, 1530
779 1199 2200 SERUM 2.0ML F SAME DAY
all positive cases) ASSAY. HRS
DUCHENNE / BECKER
MUSCULAR DYSTROPHY (This
test is not intended for carrier MULTIPLEX POLYMERASE CHAIN
780 2481 6500 EDTA WHOLE BLOOD + CLINICAL HISTORY 5.0 ML (3.0 ML) A 2: 0930 HRS 8 DAYS
detection. thus, specimens REACTION
from males only would be
accepted)
DUCHENNE MUSCULAR
Multiplex ligation-dependent
781 RD1473 DYSTROPHY (DMD) CARRIER 13000 EDTA WHOLE BLOOD + CLINICAL HISTORY 3.0 ML A 1: 1030 HRS 10DAYS
probe amplification (MLPA)
TEST
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

< 72 hrs of
collection - R.
E.COLI O157 ANTIGEN RAPID
782 7667 2700 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML >72 hrs from DAILY :16:00 HRS SAME DAY
DETECTION IMMUNOCHROMATOGRAPHY
collection - F
at -20 deg C

< 72 hrs of
collection - R.
E.HISTOLYTICA ANTIGEN RAPID
783 7665 2700 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML >72 hrs from DAILY :16:00 HRS SAME DAY
DETECTION IMMUNOCHROMATOGRAPHY
collection - F
at -20 deg C

TISSUE IN 10%FORMALIN / PARAFFIN


BLOCK+ SITE OF BIOPSY AND CLINICAL
EBV-LMP - 1 (ANTI-EPSTEIN-
784 Z258K 2500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
BARR VIRUS, LMP)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
MICROSCOPIC DETECTION -
785 1409 ECHINOCOCCUS DETECTION 1550 HYDATID CYST FLUID 3.0 ML (0.5 ML) A/R DAILY: 1500 HRS SAME DAY
SCOLICES
2-8º C (7
ECHINOCOCCUS IgG Enzyme Linked Immnunosorbent
786 1279 1600 SERUM 1.0 ML (0.5 ML) days), >7 1:1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
MALIGNANT TISSUE BIOPSIES FIXED FOR
24-48HRS IN 10% BUFFERED FORMALIN
AND EMBEDDED IN PARAFFIN. [PLEASE
MONDAY TO
787 6016F EGFR Gene AMPLIFICATION 7300 FISH MENTION THE CLINICAL HISTORY IN NOT APPLICABLE A 5TH DAY
FRIDAY: 0700 HRS
SPECIFIED FORMAT, BLOOD PICTURE (CBC
REPORT) AND MEDICATION OF THE
PATIENT ON THE TRF]
TISSUE IN 10%FORMALIN / PARAFFIN
EGFR Mutation Detection (IF BLOCK -SITE OF BIOPSY & CLINICAL
TISSUE RECEIVED; TISSUE DETAILS MANDATORY IF TISSUE RECD. 0.5 CM X 0.5 CM X
788 RD1405 5900 PyroSequencing A 2, 5:0930 HRS 5 DAYS
PROCESSING WILL BE TISSUE PROCESSING WILL BE 0.5 CM
CHARGED SEPERATELY.) CHARGED/UNSTAINED SLIDES - 5
NOS/CELL BLOCKS
ELECTROLYTES (NA/K/CL), URINE
789 1568UHD 400 IMT 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
24HRS URINE CONTAINER
ELECTROLYTES (NA/K/CL),
790 1568HD 480 IMT SERUM 2 ML (1 ML) RED DAILY SAME DAY
SERUM
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
KIDNEY BIOPSY OR MUSCLE BIOPSY IN 3%
GLUTARALDEHYDE.IT IS MANDATORY TO
MONDAY to
ELECTRON MICROSCOPY – SENT HISTOPATHOLOGY DIAGNOSIS ON COLD
791 1503 13000 ELECTRON MICROSCOPY NOT APPLICABLE THURSDAY: 09:00 22 DAYs
TISSUE REPORT ALONG WITH THE SAMPLE(IF NOT PACK
HRS
GIVEN, WILL BE CREATED AS A PROBLEM
SAMPLE)
EML-4 ALK Translocation by TISSUE/PARAFFIN BLOCK+CLINICAL
792 6028F 13000 FISH 1 SLIDE AMBIENT Daily 7.00 HRS 15th Day
FISH HISTORY IN SPECIFIED FORMAT
2-8°C (ONE
ENDOMYSIAL ANTIBODY IgA, WEEK); -
793 1181 2200 IMMUNO FLUORESCENT ASSAY SERUM 1.0 ML 2,5; 1100 HRS SAME DAY
SERUM 20°C
(LONGER)
2-8°C (ONE
ENDOMYSIAL ANTIBODY IgA, WEEK); -
794 1181T 5000 IMMUNO FLUORESCENT ASSAY SERUM 1.0 ML 2,5; 1100 HRS SAME DAY
SERUM WITH TITRE 20°C
(LONGER)
2-8º C (7
ENTAMOEBA HISTOLYTICA Enzyme Linked Immnunosorbent
795 8441 1900 SERUM 1.0 ML (0.5 ML) days), >7 1:1100 HRS SAME DAY
ANTIBODIES assay
days- 20 °C
A, FOR RAPID SAME DAY reporting for
DAILY:1530HRS(
ENTEROQUICK (Bactec Blood IMMUNOCHROMATOGRAPHY/B SERUM/ BLOOD INOCULATED BACTEC 1.0 ML (0.5 ML)/10 TYPHI IgM 2- Rapid Typhi IGM test &
796 3525 1450 Rapid Typhi IgM ) &
Culture + Rapid Thyphi IgM ) ACTEC FLUORESCENT METHOD BOTTLE (AEROBIC PLUS ) ML (8 ML) 8°C (24 hrs),> PRELIM. 24 HRS, FINAL 7TH
DAILY: 1700 HRS
24 hrs 20 °C DAY for Blood culture
797 RD1464 Enterovirus real time PCR 6500 Multiplex PCR CSF + CLINICAL HISTORY 3ML FROZEN 4:1000 AM 3 DAYS 1800 HRS
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
EPIDERMAL GROWTH
798 Z005K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY. TISSUE 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
FACTOR RECEPTOR (EGFR)
PROCESSING CHARGES APPLICABLE INCASE
SAMPLE RECEIVED IS TISSUE
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
EPITHELIAL MEMBRANE
799 Z049K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ANTIGEN (EMA)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
EPSTEIN BARR VIRUS
ANTIBODIES TETRA PANEL
{(EBV (VCA) IgG, EBV(VCA) 2-8º C (2
Enzyme Linked Immnunosorbent
800 2066 IgM),EBV(EA) IgG] 5500 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS) &EBV (NA)
IgG
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EPSTEIN BARR VIRUS EARLY
2-8º C (2
ANTIGEN IgG ANTIBODIES, Enzyme Linked Immnunosorbent
801 2126EG 2000 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
EBV (EA) (INFECTIOUS assay
DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN BARR VIRUS
NUCLEAR ANTIGEN IgG 2-8º C (2
Enzyme Linked Immnunosorbent
802 2266EG ANTIBODIES, EBV (NA) 2000 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN BARR VIRUS
NUCLEAR ANTIGEN IgM 2-8º C (2
Enzyme Linked Immnunosorbent
803 2266EM ANTIBODIES, EBV (NA) 2000 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN BARR VIRUS VIRAL
CAPSID ANTIGEN IgG 2-8º C (2
Enzyme Linked Immnunosorbent
804 2116EG ANTIBODIES, EBV (VCA) 1800 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN BARR VIRUS VIRAL
CAPSID ANTIGEN IgM 2-8º C (2
Enzyme Linked Immnunosorbent
805 2116EM ANTIBODIES, EBV (VCA) 1500 SERUM 1.0 ML (0.5 ML) DAYS), >2 2,5 : 1100 HRS SAME DAY
assay
(INFECTIOUS DAYS- 20 °C
MONONUCLEOSIS)
EPSTEIN-BARR VIRUS (EBV) NESTED POLYMERASE CHAIN MON, THURS :1030
806 2136 4250 EDTA WB 2.0 ML A/R WED, SAT: 1800 HRS
DNA PCR REACTION HRS
BLOCKS .Please send Paraffin blocks with
complete clinical history and previous
histopath report(Mandatory) so as to MONDAY 09:00HRS
ER/PR ( > 2 BLOCKS) - CoE MORE THAN 2
807 7204 2600 IHC match the site of the tissue A TO SATURDAY 8 DAYS
Histopathlogy BLOCKS
sample/Paraffin Block numbers belongs to 09:00HRS
the same patient or not. If not received,
will be created as a problem sample.
TISSUE/BLOCK/SLIDES.TISSUE IN
ER/PR REPORTED (upto FORMALIN.Clinical details, site of the MONDAY TO
808 7199 2300 IHC 2 BLOCKS/2 SLIDES Ambient 8 DAYS
2blocks) - CoE Histopathlogy tissue, pathology reports along with the FRIDAY 09:00HRS
specimen will be required.
ERYTHRO SEDIMENTATION
809 1569B 150 MODIFIED WESTERGREN CITRATE WHOLE BLOOD 3 ML BLACK TOP DAILY SAME DAY
RATE, BLOOD
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM / PLASMA-HEPARIN (IT IS
IMPORTANT TO COLLECT SAMPLES AT A
CONSISTENT TIME OF DAY. MORNING
2-8°C (7 days); 2,4:
810 1160 ERYTHROPOIETIN (EPO Level) 2200 CHEMILUMINESCENCE SAMPLES TAKEN BETWEEN 7:30 AM AND 1.0 ML (0.5 ML) SAME DAY
F (2 Months) 0500,1430,1600 hrs
12:00 NOON HAVE BEEN
RECOMMENDED). CLINICAL HISTORY
REQUIRED.
2-8°C (FEW
ESCHERICHIA COLI K1 LATEX PARTICLE HRS); -
811 2381 1500 SERUM 1.0 ML (0.5 ML) DAILY: 1530 HRS SAME DAY
ANTIGEN AGGLUTINATION 20°C
(LONGER)
2-8°C (FEW
ESCHERICHIA COLI K1 LATEX PARTICLE HRS); -
812 2381C 1500 CSF IN PLAIN VACUTAINER / STERILE VIAL 1.0 ML (0.5 ML) DAILY: 1530 HRS SAME DAY
ANTIGEN AGGLUTINATION 20°C
(LONGER)
813 3155 ESTRADIOL 600 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
DAILY (MON TO
2-8°C (7 days);
814 3156 ESTRIOL, UNCONJUGATED 1000 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED) 1.0 ML (0.5 ML) SAT): SAME DAY
F (3 months)
0500,1430,1600 hrs

TISSUE IN 10%FORMALIN FOR 24-48 HRS/


PARAFFIN BLOCK+ SITE OF BIOPSY AND
CLINICAL DETAILS MANDATORY.IF TISSUE
ESTROGEN RECEPTOR &
815 1830K 2700 IMMUNOHISTOCHEMISTRY RECEIVED IT WILL BE CHARGED FOR 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PROGESTERONE RECEPTOR,
TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
816 Z001K ESTROGEN RECEPTOR (ER) 1750 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
2-8°C (24
817 3886 ESTRONE(E1) 6000 RADIO IMMUNOASSAY SERUM FASTING 2.0 ML (1.0 ML) HRS); F (3 4 :1100 hrs SAME DAY
months)
1] Require EDTA/Heparin Whole Blood to
be collected directly in relevant
vaccutainers only. [Label with time of
EVEROLIMUS, EDTA/HEPARIN Tue,Thu, Sat at
818 7165 7800 LCMSMS collection and administration of drug, 3.0 ML 2-8ºC Same day 19:00 hrs
WHOLE BLOOD 13:00Hrs
preferably with drug dose.]
2] DOCTOR CONTACT DETAILS AND
CLINICAL HISTORY IS MANDATORY

EWS-FLI -1 Translocation by PARAFFIN BLOCK Tissue embedded in


819 9749 5800 IHC 2 NOS A DAILY:1100 HRS 10 DAYS
RT PCR - CoE Histopathlogy Paraffin block/SLIDES
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
EDTA WB 3ML, ESR
SPECTROPHOTOMETRY , 5 PART
2ML,15 ML URINE, PURPLE+
AUTOANALYSER ,MANUAL
PLASMA RED+ GREY+
EXECUTIVE HEALTH CHECK MICROSCOPY, TUBE SERUM+ EDTAWB+ PLASMA FLUORIDE
820 1002 4000 FLUORIDE(F+PP) URINE DAILY SAME DAY
PROGRAM AGGLUTINATION, (F+PP)+URINE(F+PP)+ BLACKTOP
2ML EACH, URINE CONTAINER+B
CLIA,CMIA,DIPSTICK,
(F+PP) 2ML EACH, LACK TOP
FLOCCULATION
SRUM 5 ML
EXTRACTABLE NUCLEAR 2-8°C (14
821 1234 ANTIGEN (ANCEA, SS-A, SS-B, 7000 IMMUNOBLOT SERUM 3.0 ML (2.0 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
U1SNRNP, SCL-70) (>14 days)
FACTOR II (PROTHROMBIN)
822 9893 8000 PCR Sequencing WB- EDTA + CLINICAL HISTORY 3.0 ML A/R 6: 1030 HRS 3: 1800 HRS
MUTATION DETECTION

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* - AT MINUS 20° C(DOUBLE TWO ALIQOUTS OF 2ND & 4TH TUES :
823 1949 FACTOR IX ACTIVITY 4000 CLOT BASED AT -20°C & SAME DAY
CENTRIFUGED PLASMA)* + CLINICAL 1.5 ML EACH 11:00 HOURS
TRANSPORTE
HISTORY
D IN DRY ICE)
FACTOR V MUTATION
824 9894 5800 PCR-SEQUENCING WB- EDTA + CLINICAL HISTORY 3.0 ML A/R 3,6: 1030 HRS 1,3 1800 HRS
DETECTION
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* - AT MINUS 20° C(DOUBLE TWO ALIQOUTS OF 2ND & 4TH TUES :
825 1947 FACTOR VIII ACTIVITY 3200 CLOT BASED AT -20°C & SAME DAY
CENTRIFUGED PLASMA)* + CLINICAL 1.5 ML EACH 11:00 HOURS
TRANSPORTE
HISTORY
D IN DRY ICE)

F (TO BE F
FASTING, CITRATED PLATELET POOR IMMEDIATELY
FACTOR XIII PLASMA - AT MINUS 20° C *(DOUBLE TWO ALIQOUTS OF AT -20°C
826 1957 2500 CLOT SOLUBILITY DAILY:11:00 HRS NEXT DAY
ACTIVITY(Qualitative) CENTRIFUGED PLASMA)*+ CLINICAL 1.5 ML EACH &
HISTORY TRANSPORTE
D IN DRY ICE)
Enzyme Linked Immnunosorbent
827 4209 FDP(DR-70) - ONCOSURE 4000 SERUM 2.0 ML (1.0 ML) FROZEN 4 : 1000 HRS SAME DAY
assay
2-8°C (48 DAILY (MON TO
SERUM (AGE+GENDER+ CLINICAL HISTORY
828 3170 FERRITIN 900 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F (>48 SAT): SAME DAY
REQUIRED)
HRS) 0500,1430,1600 hrs

FERTILITY PANEL, FEMALE, SERUM ( AGE+GENDER+LMP+CLINICAL


DAILY (MON TO
ENDOCRINE (TSH3G UL, HISTORY REQUIRED ) **DRAW SAMPLE 2-8°C (48 hrs);
829 1578 2800 CHEMILUMINESCENCE 3.0 ML (2.0 ML) SAT): 0500, 1900 AFTER 3.0 hrs
Prolactin, Progesterone, BETWEEN 8 AM TO 10AM, 3-4 HRS AFTER F (>48 hrs)
hrs
Estradiol, LH, FSH) THE PATIENT HAS AWAKENED.**
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
SAT): 0500, 1900
FERTILITY PANEL, MALE, Serum ( Age+ Gender+ LMP +Clinical hrs FOR AFTER 3.0 hrs (LH, FSH &
ENDOCRINE (Testosterone CHEMILUMINESCENCE / History Required ) **Draw sample 2-8°C (24 hrs); LH/FSH/PROLACTIN PROLACTIN) & SAME DAY
830 1577 2600 5.0 mL (3.0 mL)
Free & Total, LH, FSH, RADIOIMMUNOASSAY between 8 AM to 10AM ,After 3-4 hrs F ( >24 hrs) & DAILY (MON TO (TESTOSTERONE
Prolactin) patient has awakened.** SAT): 1230 hrs FOR FREE/TOTAL)
TESTOSTERONE
FREE & TOTAL
PURPLE +
5 PART AUTO ANALYSER , EDTA 3ML, SERUM
RED+ BLACK
831 1338 FEVER PANEL 800 SPECTROMETRY, DIPSTICK/ SERUM, EDTA WB, BLACKTOP, URINE 3ML, CITRATE WB DAILY SAME DAY
TOP+ URINE
MANUAL MICROSCOPY 3ML, URINE 5 ML
CONTAINER
PURPLE +
5 PART AUTO ANALYSER , EDTA 3ML, SERUM
RED+ BLACK
832 1338ALT FEVER PANEL - 2 750 SPECTROMETRY, DIPSTICK/ SERUM, EDTA WB, BLACKTOP, URINE 3ML, CITRATE WB DAILY SAME DAY
TOP+ URINE
MANUAL MICROSCOPY 3ML, URINE 5 ML
CONTAINER

AUTOMATED CELL COUNTER/ A/ SERUM 2- DAILY: 12:00,15:30


AUTOMATED (PHOTOMETRICAL 8°C (7 DAYS); FOR RAPID TYPHI
FEVER SCREENING PANEL
CAPILLARY STOPPED FLOW EDTA WB/BLACK TOP (CITRATE) F (3 MONTHS, IgM ,17:30 HRS FOR
(CBC,ESR,CRP ,BLOOD 3.0 ML (2.0) ML +
KINETIC ANALYSIS) / MANUAL WB/SMEARS/SERUM/HEPARIN IF F WITHIN CBC/ESR, SAME DAY & 3RD DAY BLD
833 5012 CULTURE/SENSITIVITY,RAPID 2100 SERUM 3.0 ML (2.0)
(MODIFIED WESTERGREN) WB/FASTING URINE + (AGE & GENDER IS 24 HRS OF DAILY:18:00HRS- CULTURE BY 7TH DAY
TYPHI IgM,MALARIA AG / URINE 15ML(10ML)
BACTECCULTURE/RAPIDIMMUN MANDATORY) COLLECTION); CRP; DAILY:
DETECTION & URINALYSIS)
OASSAY/NEPHELOMETRY URINE 2- 1830HRS-
/DIPSTICK & MICROSCOPY 8°C(24 HRS) URINALYSIS

TISSUE IN MICHEL'S TRANSPORT MEDIA +


834 1553 FIBRINOGEN 1000 IMMUNOFLOURESCENCE 1CM A DAILY: 1000 HRS 4 WORKING DAYS
CLINICAL HISTORY
F (TO BE F
FIBRINOGEN DEGRADATION FASTING, CITRATED PLATELET POOR IMMEDIATELY
LATEX PARTICLE TWO ALIQOUTS OF
835 4208 PRODUCTS (FDP) (SEMI 1600 PLASMA* - AT MINUS 20° C*(DOUBLE AT -20°C & DAILY:1630 HRS SAME DAY
AGGLUTINATION 1.5 ML EACH
QUANTITATIVE) CENTRIFUGED PLASMA)* TRANSPORTE
D IN DRY ICE)

F (TO BE F
FASTING, CITRATED PLATELET POOR IMMEDIATELY
TWO ALIQOUTS OF
836 1426 FIBRINOGEN LEVEL 1350 CLOT BASED ( CLAUSS ) PLASMA* - AT MINUS 20° C *(DOUBLE AT -20°C & DAILY:1630 HRS SAME DAY
1.5 ML EACH
CENTRIFUGED PLASMA)* TRANSPORTE
D IN DRY ICE)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
10-12 HRS FASTING SERUM (LIPEMIC &
HEMOLYSED SAMPLE SHOULD BE EDTA whole
AVOIDED) + CITRATED PLASMA + EDTA WB blood &
AND CITRATE WB (LIGHT BLUE TOP) Citrated
NEPHELOMETRY/Hematology/E
837 4511 FIBROMETER ALD 3900 CLINICAL HISTORY + (DOB, SAMPLE 4ML/2ML/3ML whole blood- 3 : 11:00 HRS NEXT DAY
nzyme Linked Immunoassay
COLLECTION DATE, AGE & GENDER IS Ambient Rest
MANDATORY). ALL SAMPLES MUST BE all frozen
COLLECTED SIMULTANEOUSLY ON SAME SERUM (F)
DAY AND SAME TIME.

SERUM 10-12 HRS FASTING (LIPEMIC &


HEMOLYSED SAMPLE SHOULD BE EDTA whole
AVOIDED) +FASTING PLASMA FLOURIDE + blood &
4ML/FASTING
SPECTROPHOTOMETRY/NEPHEL CITRATED PLASMA + EDTA WB AND Citrated
FLUORIDE PLASMA
838 4512 FIBROMETER NAFLD 3900 OMETRY/Hematology/Enzyme CITRATE WB (LIGHT BLUE TOP) (DOB, whole blood- 3 : 11:00 HRS NEXT DAY
(2ML) / SERUM
Linked Immunoassay SAMPLE COLLECTION DATE, AGE, WEIGHT Ambient Rest
(2ML)/5ML
& GENDER IS MANDATORY) ALL SAMPLES all frozen,
MUST BE COLLECTED SIMULTANEOUSLY SERUM (F)
ON SAME DAY AND SAME TIME.

SERUM 10-12 HRS FASTING (LIPEMIC &


EDTA whole
HEMOLYSED SAMPLE SHOULD BE
blood &
AVOIDED) + CITRATED PLASMA + EDTA WB
Citrated
SPECTROPHOTOMETRY/NEPHEL AND CITRATE WB (LIGHT BLUE TOP) (DOB, 4ML/SERUM
839 4590 FIBROMETER VIRUS 3900 whole blood- 3,6 : 12:00 HRS NEXT DAY
OMETRY/Hematology SAMPLE COLLECTION DATE, AGE & 2ML/3ML
Ambient Rest
GENDER IS MANDATORY).ALL SAMPLES
all frozen,
MUST BE COLLECTED SIMULTANEOUSLY
SERUM (F)
ON SAME DAY AND SAME TIME.
2-8°C ( 5
SERUM/PLASMA (Heparin) or Whole blood
840 9337 FILARIA IgG/IgM ANTIBODIES 1200 IMMUNOCHROMATOGRAPHY 2.0 ML (1.0 ML) days), >5 DAILY : 1530 HRS SAME DAY
heparin
DAYS (-20ºC)
FINE NEEDLE ASPIRATION
CYTOLOGY (FNAC),
841 1518 PROCEDURE (FOR SRL 1300 MANUAL SMEARS/SLIDES PREPARED SMEARS H&E SLIDES DAILY NEXT DAY
MUMBAI WALK-IN PATIENTS
ONLY)
EDTA WHOLE BLOOD / EDTA BONE
FIP1L1-PDGFRA GENE
842 RD1314 6100 NESTED RT-PCR MARROW (SPECIMEN TO REACH US 5 ML (3ML) A 3:0930 HRS 9 DAYS
REARRANGEMENT
WITHIN 48 HRS)+CLINICAL HISTORY
FLOWCYTOMETRY PANEL;
MYELOMA PANEL
EDTA BM / HEP BM / SMEARS + CLINICAL 3.0 ML (2.0 ML) + 3.0
843 1607 (CD38,CD56,CD19, 5000 FLOW CYTOMETRY A DAILY: 1530 HRS NEXT DAY BY 6.00PM
HISTORY ML (2.0 ML) + 2(1)
CYTOPLASMIC KAPPA AND
LAMBDA,CD45, CD138)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
FLOWCYTOMETRY PANEL;
NATURAL KILLER CELL WB-EDTA + HEPARIN 3.0 ML (1.0 ML) + 3.0
844 5422 4200 FLOW CYTOMETRY A DAILY: 1530 HRS NEXT DAY BY 6.00PM
EVALUATION (%CD16+56,ABS (WB TO REACH WITHIN 48 HRS) ML (1.0 ML)
CD16+CD56)
FLOWCYTOMETRY PANEL; EDTA - WB / BM / / FLUIDS, HEPARIN WB /
3.0 ML (2.0 ML) + 3.0
845 1611 NATURAL KILLER PANEL 4700 FLOW CYTOMETRY BM / FLUIDS + BLOOD / BM SMEARS + A DAILY: 1530 HRS NEXT DAY BY 6.00PM
ML (2.0 ML) + 2(1)
(CD3,CD16,CD56,CD45) CLINICAL HISTORY
EDTA WHOLE BLOOD / EDTA BONE
846 7469 FLT3 MUTATION DETECTION 4900 PCR,SEQUENCING 5.0 ML (3.0 ML) A 5: 0930 HRS 7 DAYS
MARROW + CLINICAL HISTORY
NASAL/THROAT/NASOPHARYNGEAL SWAB Daily 1730 HRS
847 8008 FLU REAL TIME PCR 5500 REAL TIME PCR IN VTM + CLINICAL HISTORY IN SPECIFIED 2 SWABS IN VTM F (EXCEPT SUNDAY Next Day 1800 HRS
FORMAT AND HOLIDAYS)
EAR FLUID/NASAL FLUID(CSF
MONDAY 09:00HRS
IMMUNOFIXATION LEAKAGE)/CSFAND SERUM(SPECIMEN
848 4952 FLUID BETA -2 TRANSFERRIN 4500 2.0 ML AND 2.0 ML COLD TO SATURDAY 3RD DAY
ELECTROPHORESIS SHOULD PREFERABLY REACH SRL,MUMBAI
09:00hrs
WITHIN 24HRS OF COLLECTION)
STERILE
849 5197 FLUID, ROUTINE 700 MANUAL/CYTOSPIN FLUID 5 ML DAILY SAME DAY
CONTAINER
SMEARS/SLIDES.CLINICAL DETAILS, SITE OF
THE TISSUE, PATHOLOGY REPORTS ALONG
WITH THE SPECIMEN WILL BE REQUIRED.
IF IT IS A BONE MARROW SPECIMEN, CBC
FNAC / CYTOLOGY SMEARS - MONDAY TO
850 7372 8800 CYTOLOGY REPORT WILL ALSO BE REQUIRED AND FOR 4 SLIDES(2 SLIDES) AMBIENT 8 DAYS
CoE Histopathlogy FRIDAY 09:00HRS
BONE SPECIMEN, WILL ALSO REQUIRE MRI
& X-RAY OF THE PATIENT.

DAILY (MON TO
2-8°C (48 hrs);
851 3522 FOLIC ACID 1250 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) SAT): SAME DAY
F (>48 hrs)
0500,1430,1600 hrs
FOLLICLE STIMULATING
HORMONE & LUTEINIZING
852 2020 1100 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
HORMONE EVALUATION (FSH
& LH)
FOLLICLE STIMULATING
853 3174 400 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
HORMONE (FSH)
FOLLICLE STIMULATING
HORMONE, LUTEINIZING
854 2021 1600 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
HORMONE EVALUATION &
PROLACTIN (LH, FSH & PL)
DAILY:1000 HRS
855 RD1442 FOOD DETECT 6000 Immunochromatography SERUM 1-2 ML A/R (EXCEPT SUNDAY SAME DAY 16.30 HRS
AND HOLIDAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM/PLASMA/ETDA WHOLE BLOOD +
856 RD1306 FOOD INTOLERANCE TEST 18000 PROTEIN MICROARRAY 2 ML (1ML) R/R/A 1,3 : 0930 HRS 3,5 18:30 HRS
CLINICAL HISTORY IN SPECIFIED FORMAT
FRAGILE X (FMR 1) TRIPLET PRIMED PCR
857 RD1325 6900 EDTA WHOLE BLOOD + CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 9 DAYS
MUTATION SCREEN FRAGMENT ANALYSIS
SERUM (AGE+GENDER+ CLINICAL HISTORY
REQUIRED) DO NOT SCHEDULE ANY DAILY (MON TO
2-8°C (24 hrs);
858 3545 FREE PSA 900 CHEMILUMINESCENCE PROSTATIC EXAMINATION / 1.0 ML (0.5 ML) SAT): SAME DAY
F ( >24 hrs)
INSTRUMENTATION ATLEAST FOR 3 DAYS 0500,1430,1600 hrs
BEFORE BLOOD TEST IS PERFORMED.
SERUM ( AGE+GENDER+LMP+CLINICAL 2-8°C (48
2,4:
859 3245 FREE ANDROGEN INDEX 3250 CHEMILUMINESCENCE HISTORY REQUIRED) SAMPLE TO BE 1.0 ML (0.5 ML) HRS); F (>48 SAME DAY
0500,1430,1600 hrs
DRAWN IN THE MORNING HOURS. HRS)
DAILY (MON TO
SERUM (CLINICAL DETAILS ); LMP DATE 2-8°C (7 days);
860 3285 FREE BETA HCG (FBHCG) 850 CHEMILUMINESCENCE 1.0ML (0.5ML) SAT): SAME DAY
REQUIRED F (>7 days)
0500,1430,1600 hrs
861 3839I FREE PROTEIN S 6500 IMMUNO TURBIDIMETRY FROZEN CITRATED PLASMA 2.0 ML FROZEN SAT 1030 HRS SAME DAY
862 3228 FREE THYROXINE , FT4 250 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
FREE TRIIODOTHYRONINE,
863 3234 250 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
FT3
Freidreichs Ataxia mutation
864 RD1411 6600 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3, 0930 HRS 7 Days
analysis
2-8°C (2
865 3935 FRUCTOSAMINE 1200 SPECTROPHOTOMETRY SERUM + (AGE & GENDER IS MANDATORY) 3.0ML (2.0ML) WEEKS); F 2, 5:1200 hrs SAME DAY
(>2 WEEKS)
FT - Plus (FT3, FT4, TSH 3G, 2-8°C (48 DAILY (MON TO
CHEMILUMINESCENCE/
866 7569 LIPID PROFILE, Fasting Blood 1199 SERUM 5.0 ML (2.0 ML) HRS); F ( >48 SAT): 0500 hrs to SAME DAY
SPECTROPHOTOMETRY
Sugar) HRS) 1900 hrs
SPUTUM / CSF / FLUID / URINE / ASPIRATE
867 5323 FUNGAL STAIN 460 STAIN / MICROSCOPY 3.0 ML (0.5 ML) A/R DAILY: 1500 HRS SAME DAY
/ TISSUE BIOPSY- STERILE CONTAINER
MODERATE
FUNGAL SUSCEPTIBILITY MIC
868 5660 3000 BROTH DILUTION PURE CULTURE OF YEAST OBSERVABLE R DAILY: 1700 HRS 4TH DAY
PANEL
GROWTH
MODERATE
FUNGAL SUSCEPTIBILITY MIC
869 5661 2200 BROTH DILUTION PURE CULTURE OF YEAST OBSERVABLE R DAILY: 1700 HRS 4TH DAY
SINGLE DRUG
GROWTH
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

FUNGUS IDENTIFICATION-
1)CULTURE 2)IDENTIFICATION
OF YEASTS BY GERM TUBE
SPUTUM / CSF / FLUID / URINE / ASPIRATE
FUNGUS CULTURE, STAIN & TEST/CHROMOGENIC PRELIM/YEAST- 7TH DAY,
870 5322 2100 / TISSUE BIOPSY- STERILE CONTAINER, 3.0 ML (0.5 ML) A/R DAILY: 1700 HRS
IDENTIFICATION MEDIA/AUTOMATED FINAL 21ST DAY
SWABS NOT ACCEPTED
IDENTIFICATION SYSTEM &
MOLDS BY COLONY
MORPHOLOGY & MICROSCOPY

FUNGUS IDENTIFICATION-
1)CULTURE 2)IDENTIFICATION
OF YEASTS BY GERM TUBE
FUNGUS CULTURE, STAIN & TEST/CHROMOGENIC BLOOD INOCULATED IN BACTEC BOTTLE PRELIM. 7TH DAY, FINAL
871 5322B 1200 5.0 ML (3.0 ML) A DAILY: 1700 HRS
IDENTIFICATION MEDIA/AUTOMATED (MYCOSIS) 21ST DAY
IDENTIFICATION SYSTEM &
MOLDS BY COLONY
MORPHOLOGY & MICROSCOPY

FUNGUS IDENTIFICATION-
1)CULTURE 2)IDENTIFICATION
OF YEASTS BY GERM TUBE
PURE & MODERATE
TEST/CHROMOGENIC PURE CULTURE OF FUNGUS ON AGAR
872 5324 FUNGUS IDENTIFICATION 1000 OBSERVABLE R DAILY: 1700 HRS 21ST DAY
MEDIA/AUTOMATED SLANT
GROWTH
IDENTIFICATION SYSTEM &
MOLDS BY COLONY
MORPHOLOGY & MICROSCOPY

G6-PD (GLUCOSE-6-
PHOSPATE
873 1126 900 DYE DECOLORIZATION WB-EDTA 3.0 ML (2.0 ML) A DAILY: 14:30 HRS SAME DAY
DEHYDROGENASE),
(QUALITATIVE)
G6PD QUALITATIVE REFLEX
DYE DECOLORIZATION +
874 9212RFX G6PD QUANTITATIVE 1500 WB-EDTA 3.0 ML (2.0 ML) A DAILY: 14:30 HRS SAME DAY
SPECTROPHOTOMETRY
ESTIMATION
G-6-PD, QUANTITATIVE,
875 1146QT 1000 SPECTROPHOTOMETRY WB-EDTA + (Clinical history ) 3.0 ML (2.0 ML) A DAILY: 14:30 HRS SAME DAY
BLOOD
SERUM(Care must be taken not to
2-8º C (48
Enzyme Linked Immnunosorbent contaminate the sample with fungal
876 1728 GALACTOMANNAN 5500 2.0 ML HRS), >48 1,4 : 1100 HRS SAME DAY
assay spores and/or bacteria.Trasnport and store
HRS 70 °C
samples in sealed tubes, unexposed to air)
Galactosemia (GALT) Gene
877 RD1434 4000 PCR Sequencing WHOLE BLOOD EDTA/BLOOD SPOT 3-5 ML AMBIENT 3; 0930 HRS 10 DAYS
Mutation
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
GALL BLADDER STONE WHOLE GALL BLADDER STONE.Please
878 4166 1600 BIOCHEMICAL NOT APPLICABLE A/R THURSDAY 9:00HRS 5TH DAY
ANALYSIS provide the clinical details.
GAMMA GLUTAMYL
879 1294H 320 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
TRANSFERASE, SERUM
WHOLE BLOOD TO BE COLLECTED IN 5 ml
GAMMA INTERFERON BD ENDOTOXIN FREE HEPARIN TUBE COLLECTION :1,3,5:
Enzyme Linked Immnunosorbent
880 2405 (M.tuberculosis Interferon 2850 PROVIDED BY SRL FROM SUNDAY TO 5ML A ; 1530 HRS (RUN NEXT DAY
assay
Gamma Release Assay (IGRA) FRIDAY AND TRANSPORTED WITHIN 12 DAY 2,4,6)
HRS OF COLLECTION.
BY PRIOR
APPOINTMENT.Ask
GARDNERELLA VAGINALIS VAGINAL / CERVICAL SWABS / SECRETIONS 2 (1) SWABS / 3.0 ML
881 1419 1200 CULTURE A for transport 7TH day
CULTURE IN TRANSPORT MEDIA (0.5 ML)
medium specify
sample source
FASTING SERUM (CLINICAL HISTORY FROZEN: UP 1: 0500,1430,1600
882 3175 GASTRIN 1800 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAME DAY
REQUIRED) TO 30 days hrs
GASTROENTERITIS SCREENING
883 5013 1450 MICROSCOPY/ CULTURE STOOL SAMPLE 2.0 GM A Daily: 17:30 hrs 3rd day
PANEL
TISSUE IN 10%FORMALIN / PARAFFIN
GCDFP-15 (ANTI-HUMAN BLOCK+ SITE OF BIOPSY AND CLINICAL
884 Z256K GROSS CYSTIC DISEASE FLUID 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PROTEIN-15) IT WILL BE CHARGED FOR TISSUE
PROCESSING
GCV RESISTANCE BY EDTA PLASMA /EDTA WHOLE BLOOD +
885 7577 6400 PCR-SEQUENCING 5 ML (3 ML) F/A 3: 0930 HRS 8 DAYS
SEQUENCING CLINICAL HISTORY
DAILY: 0930 HRS
GENE EXPERT (XPERT MTB / REAL TIME PCR ON GENEXPERT
886 RD1324 2200 SPUTUM / BAL 5.0 ML ( 2.0 ML) A/R (EXCEPT SUNDAY SAME DAY: 1900 HRS
RIF) PLATFORM
AND HOLIDAYS)
GENETIC DISORDERS;
887 RD1417 ANGELMANS SYNDROME MS 7500 Methylation Specific - PCR EDTA WHOLE BLOOD + CLINICAL HISTORY 5.0 ML (3.0 ML) AMBIENT 1:0930 HRS 9 DAYS
PCR
GENETIC DISORDERS; MILLER
888 6023F 5600 FISH WHOLE BLOOD HEPARIN 3 ML A DAILY 7:00 HRS 6TH DAY
DIEKKER SYNDROME

GENETIC DISORDERS; PRADER-


889 RD1418 7000 Methylation Specific - PCR EDTA WHOLE BLOOD + CLINICAL HISTORY 5.0 ML (3.0 ML) AMBIENT 1:0930 HRS 9 DAYS
WILLI SYNDROME MS PCR
GENETIC DISORDERS; RETT
SYNDROME DNA
890 RD1410 5250 DNA SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5.0 ML (3.0 ML) A 2: 0930 HRS 10 DAYS
SEQUENCING ( MECP2
MUTATION)
GENETIC DISORDERS; SCA 12
891 RD1456 (SPINAL CEREBRAL ATAXIA 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 Days
TYPE-12)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
GENETIC DISORDERS; SCA 2
892 RD1413 (SPINAL CEREBRAL ATAXIA 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 Days
TYPE-2)
GENETIC DISORDERS; SCA 3
893 RD1414 (SPINAL CEREBRAL ATAXIA 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 Days
TYPE-3)
GENETIC DISORDERS; SCA 6
894 RD1415 (SPINAL CEREBRAL ATAXIA 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 Days
TYPE-6)
GENETIC DISORDERS; SCA 7
895 RD1416 (SPINAL CEREBRAL ATAXIA 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3:0930 HRS 7 Days
TYPE-7)
GENETIC DISORDERS; SCA10
896 RD1455 (SPINAL CEREBRAL ATAXIA 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 Days
TYPE-10)
GENETIC DISORDERS; SCA17
897 RD1457 (SPINAL CEREBRAL ATAXIA 3000 PCR-Fragment analysis EDTA WHOLE BLOOD 5ML AMBIENT 3, 10:30 7 Days
TYPE-17)
GENETIC DISORDERS; SMA
898 9443 13000 MLPA-FRAGMENT ANALYSIS EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3ML) A 5: 0930 HRS 9 DAYS
CARRIER DETECTION

SPECIMEN IN BY PRIOR
TRANSPORT APPOINTMENT Ask
URETHRAL / CERVICAL
GENITAL MYCOPLASMA / 2 (1) SWABS / 3.0 ML MEDIA AT RT for transport
899 2408 1250 CULTURE SWABS,URINE,SEMEN IN TRANSPORT 3 RD DAY
UREAPLASMA CULTURE (1.0 ML) UP TO 48 HRS; medium please
MEDIA
AT 2-8°C UP specify sample
TO 72 HRS source

GESTATIONAL GLUCOSE
900 1127BS 300 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) GREY DAILY SAME DAY
TOLERANCE - 3
GESTATIONAL GLUCOSE
901 1127BH 440 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) GREY DAILY SAME DAY
TOLERANCE - 7
GIARDIA LAMBILA ANTIGEN
RAPID
902 7663 DETACTION FROM STOOL; 1500 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML A/R DAILY :16:00 HRS SAME DAY
IMMUNOCHROMATOGRAPHY
RAPID CARD TEST

TISSUE IN 10%FORMALIN / PARAFFIN


GIST PDGFRA GENE BLOCK -SITE OF BIOPSY & CLINICAL
903 RD1443 10000 PCR SEQUENCING 2 (1) A 1, 5: 1030 HRS 10 TH DAY
MUTATIONS DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
GLIAL FIBRILLARY ACIDIC
904 Z084K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PROTEIN (GFAP)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
GLIOMA PANEL (1P/19Q, BLOCK -SITE OF BIOPSY & CLINICAL
905 4551 19500 FISH/Pyrosequencing 1 A Wednesday: 10am 10days
IDH1/2, MGMT) DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
906 1302GCT GLUCOSE CHALLENGE TEST 75 SPECTROPHOTOMETRY PLASMA FLOURIDE 2 ML (1 ML) GREY DAILY SAME DAY
907 1302P GLUCOSE RANDOM, PLASMA 75 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) GREY DAILY SAME DAY

908 1302R GLUCOSE RANDOM, PLASMA 75 SPECTROPHOTOMETRY PLASMA FLOURIDE 2 ML (1 ML) GREY DAILY SAME DAY
GLUCOSE TOLERANCE TEST
909 1126BS 130 SPECTROPHOTOMETRY PLASMA FLOURIDE 2 ML (1 ML) GREY DAILY SAME DAY
(GTT-2)
910 1302H GLUCOSE, FASTING, PLASMA 75 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) GREY DAILY SAME DAY
GLUCOSE, POST-PRANDIAL,
911 1302 75 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) GREY DAILY SAME DAY
PLASMA
URINE
912 1302UH GLUCOSE, URINE 75 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
Glucose-6 Phospahte
913 RD1419 Dehydrogenase (G6PD) Gene 4200 PCR Sequencing WHOLE BLOOD EDTA 3-5 ML AMBIENT 3:0930 HRS 7 DAYS
Mutations
GLUTAMIC ACID 2-8º C (48
Enzyme Linked Immnunosorbent
914 3193 DECARBOXYLASE (GAD) IgG 6800 SERUM 1.0 (0.5 ML) hrs), >48 hrs 5:1100 HRS NEXT DAY
assay
ANTIBODIES 70 °C
WB- EDTA | BM / WB- HEPARIN | BM / 3-4 CC (1CC) / 3-4 CC
915 1674BR GLYCOPHORIN A (ERYTHROID) 2600 FLOW CYTOMETRY EDTA/ HEPARIN/ FLUIDS/SMEARS + (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
CLINICAL HISTORY / 3-4 CC (1CC)
GLYCOSYLATED
916 3179 550 NYCOCARD EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY
HEMOGLOBIN, BLOOD
GLYCOSYLATED
917 3180 HEMOGLOBIN, EDTA WHOLE 550 HPLC EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY
BLOO
STERILE
918 2438 GRAM STAIN 400 MANUAL SPUTUM ,PUS ,FLUID 2-5 ML DAILY SAME DAY
CONTAINER
SERUM, PATIENT MUST BE FASTING AND DAILY (MON TO
FROZEN: UP
919 3182 GROWTH HORMONE (GH) 900 CHEMILUMINESCENCE AT COMPLETE REST 30 MINUTES BEFORE 1.0 ML (0.5 ML) SAT): SAME DAY
TO 2 Months
BLOOD COLLECTION 0500,1430,1600 hrs

SERUM - RECOMMENDED DOSE INSULIN -


0.1 - 0.15 U/KG , ARGININE 0.5 GM/KG,
DAILY (MON TO
GROWTH HORMONE GLUCAGON 0.03 MG/KG IM ( 5 SAMPLES FROZEN: UP
920 3183 3500 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
STIMULATION TEST COLLECTED 30 MINUTES APART, FIRST TO 2 Months
0500,1430,1600 hrs
SAMPLE COLLECTED BEFORE
STIMULATING AGENT)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
H.PYLORI ANTIGEN RAPID
921 9981 1400 STOOL IN LEAK PROOF CONTAINER 1.0 GM (0.5 GM) R DAILY :16:00 HRS SAME DAY
DETECTION IMMUNOCHROMATOGRAPHY
2-8°C (FEW
HAEMOPHILUS INFLUENZAE B LATEX PARTICLE HRS); -
922 9606 1700 SERUM 1.0 ML (0.5 ML) DAILY: 1530 HRS SAME DAY
ANTIGEN AGGLUTINATION 20°C
(LONGER)
2-8°C (FEW
HAEMOPHILUS INFLUENZAE B LATEX PARTICLE HRS); -
923 9606C 1300 CSF 1.0 ML (0.5 ML) DAILY:1530 HRS SAME DAY
ANTIGEN, CSF AGGLUTINATION 20°C
(LONGER)
HAM TEST (ACIDIFIED SERUM 2.0 ML (1.0 ML), 2.0 MON/THUS/SAT:
924 3832 1300 HEMOLYSIS EDTA WB AND SERUM A/R NEXT DAY
LYSIS TEST) ML (1.0 ML) 11:00 HRS
SATURDAY &
HANTA VIRUS-IGM, SERUM BY
925 7178 2200 EIA SERUM 2.0ML(1.0ML) R/F WEDNESDAY 4 DAYS
EIA
09:00HRS
2-8°C (7
DAYS); F (> 7
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
926 1519I HAPTOGLOBIN 3700 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F 2,4,6: 1630 HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

927 7375 HAPTOGLOBIN GENOTYPING 3700 PCR EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3 ML) A 1, 4 : 0930 HRS 5 DAYS

928 2478 HAV RNA PCR 3900 REVERSE TRANSCRIPTASE PCR EDTA PLASMA 1.0 ML (0.5 ML) F 6:1100 HRS TUE 1800 HRS

HB VARIANT REFLEX WITH


RED CELL INDICES
HPLC/ AUTOMATED CELL WB-EDTA+ BLOOD SMEAR + CLINICAL
(PERFORMED IF HB A2 OR HB 3.0 ML (2.0) ML + 2
929 9210RFX 1200 COUNTER / MICROSCOPY HISTORY IN SPECIFIED FORMAT+ AGE & A DAILY:1500 HRS NEXT DAY
F IS ABNORMAL) / SICKLING SMEARS
/DEOXYGENATION SEX
TEST (PERFORMED IF HB S IS
ABNORMAL)
HB, TLC & DLC, EDTA WHOLE
930 5101 220 5 PART AUTO ANALYSER EDTA WHOLE BLOOD , SMEARS 3 ML EDTA DAILY SAME DAY
BLOOD
HB, TLC, DLC & ESR, EDTA EDTA WHOLE BLOOD , CITRATE WHOLE EDTA , BLACK
931 5102 250 5 PART AUTO ANALYSER 3 ML DAILY SAME DAY
WHOLE BLOOD BLOOD TOP
Chemiluminescent Microparticle FOR HBEAG HBeAg-DAILY: 0730
HBeAG NEGATIVE REFLEX TO
Immunoassay (CMIA)/ COBAS 2.0 ML (1.0 ML) + TEST ---2-8°C HRS & 1530 HRS
932 9218RFX HBV PRECORE & BASAL CORE 2600 SERUM + PLASMA EDTA (FROZEN ONLY) SAME DAY AND 7TH DAY
TAQMAN & NESTED PCR 5.0(4.0 ML) F (7 DAYS) ,>7 AND THURSDAY
MUTATION
SEQUENCING DAYS -20°C, F 10:30
HBV BASAL CORE PROMOTER EDTA PLASMA / SERUM + CLINICAL
933 7475 4400 NESTED PCR SEQUENCING 5 ML (2ML) F 4: 0930 HRS 6 DAYS
MUTATION HISTORY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
HBV DRUG RESISTANCE
(Lamivudine, Telbivudine,
934 RD1305 7500 NESTED PCR-SEQUENCING EDTA PLASMA/SERUM + CLINICAL HISTORY 5 ML (2 ML) F 1: 0930 HRS 6;1830 HRS
Adefovir, Tenofovir and
Entecavir)
SERUM, EDTA-PLASMA + CLINICAL 2.0 ML (1.0 ML), 2.0
935 7474 HBV GENOTYPING 7500 PCR-SEQUENCING F 4: 0930 HRS 6 DAYS
HISTORY ML (1.0 ML)
EDTA PLASMA / SERUM +CLINICAL
936 7476 HBV PRECORE MUTATION 4400 NESTED PCR SEQUENCING 5 ML (2ML) F 4: 0930 HRS 6 DAYS
HISTORY
937 8141 HBV QUALITATIVE 4200 REAL TIME PCR SERUM OR PLASMA - EDTA 3.0 ML (2.0 ML) F DAILY:0800 HRS NEXT DAY: 1800 HRS
HBV VIRAL LOAD BY REAL
938 9973 4250 REAL TIME PCR SERUM / PLASMA EDTA 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
TIME PCR
HBV QUANTITATIVE BY
939 8136 8500 COBAS TAQMAN SERUM / PLASMA EDTA 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
COBAS TAQMAN
HBV QUANTITATIVE BY
940 9890 8500 COBAS TAQMAN PLASMA EDTA/ SERUM 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
COBAS TAQMAN
DAILY (MON TO
HCG (HUMAN CHORIONIC SERUM ( AGE + GENDER + LMP + CLINICAL 2-8°C (7 days);
941 3184 775 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAT): SAME DAY
GONADOTROPIN) HISTORY REQUIRED ) F (2 Months)
0500,1430,1600 hrs
RAPID 4TH GENERATION
942 2446R HCV ABS, SERUM 950 SERUM 1 ML RED/GEL DAILY SAME DAY
IMMUNOASSAY
HCV ALPHA (HCV RNA
PCR SEQUENCING & COBAS
943 DT4102 Quantitative and HCV 16000 PLASMA- EDTA 5.0 ML (4.0 ML) F DAILY: 0930 HRS 3RD DAY: 1900 HRS
TAQMAN
Genotyping)
944 7473 HCV GENOTYPING 10000 PCR SEQUENCING PLASMA- EDTA 3.0 (2.0) ML F DAILY: 0930 HRS 3RD DAY: 1900 HRS
REAL TIME POLYMERASE CHAIN
945 7516A HCV RNA PCR, QUALITATIVE 4300 PLASMA- EDTA 2.0 ML (1.0 ML) F DAILY:0800 HRS NEXT DAY 1800 HRS
REACTION
946 9891 HCV RNA QUANTITATIVE 8750 COBAS TAQMAN PLASMA- EDTA 4.0 ML (3.0 ML) F DAILY 8.00 A.M NEXT DAY :20:00 hrs
HCV VIRAL LOAD BY REAL
947 9972 4250 REAL TIME PCR PLASMA-EDTA 3ML (2.5 ML) F DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
TIME PCR
DAILY 0800 HRS
FOR HCV
SERUM 1.0 ML (0.5
HCV4 (HCV RNA Qualitative REAL TIME POLYMERASE CHAIN SERUM. FOR ECLIA/ PLASMA-EDTA FOR QUALITATIVE/HCV
948 7516 5500 ML)+ PLASMA F NEXT DAY: 1800 HRS
AND HCV Antibodies) REACTION/ CMIA PCR Abs
1.0ML(0.5 ML)
:0730am,1530pm
daily
949 1124HD HDL CHOLESTEROL, SERUM 230 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
950 8400 HDV RNA PCR 5250 REVERSE TRANSCRIPTASE PCR EDTA PLASMA 5 ML (3ML) F 5: 1000 HRS TUE: 1800 HRS

CHEMILUMINESCENT 2-8°C (4
HE4 (Human Epididymis
951 4113 2500 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) DAYS); -20°C Thrus:11.00 am Same day(1900 hrs)
Protein-4)
(CMIA) (>4 DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
5 PART AUTO ANALYSER , EDTA 5ML, SMEAR, PURPLE +
SPECTROMETRY, DIPSTICK/ SERUM 5 ML, EDTA WB, BLACKTOP, SERUM 5ML, URINE , RED+ BLACK
952 1569 HEALTH CHAMPION PACKAGE 2900 DAILY SAME DAY
MANUAL MICROSCOPY, TUBE URINE, PLASMA FLOURIDE, PLASMA FLOURIDE 3 TOP+ URINE
AGGLUTINATION, CLIA, CMIA ML, CONTAINER

5 PART AUTO ANALYSER , EDTA 5ML, SMEAR, PURPLE +


SPECTROMETRY, DIPSTICK/ SERUM ,EDTA WB, BLACKTOP, SERUM 5ML, URINE , RED+ BLACK
953 1569R HEALTH CHAMPION PACKAGE 2900 DAILY SAME DAY
MANUAL MICROSCOPY, TUBE URINE,PLASMA FLOURIDE, PLASMA FLOURIDE 3 TOP+ URINE
AGGLUTINATION, CLIA, CMIA ML, CONTAINER
SPECTROPHOTOMETRY,5 PART
AUTO ANALYSER, EDTA 3ML, SERUM PURPLE+
HEALTH CHAMPION PACKAGE FLOCCULATIONMETHOD, CMIA, SERUM ,EDTA WB, BLACKTOP, URINE, 5ML, PLASMA RED+ GREY+
954 1569HP 3500 DAILY SAME DAY
PLUS CLIA, TUBE AGGLUTINATION, PLASMA FLOURIDE, FASTING 3ML, URINE URINE
DIPSTICK/ MANUAL 5ML CONTAINER
MICROSCOPY
SPECTROPHOTOMETRY,5 PART
AUTO ANALYSER, EDTA 3ML, SERUM PURPLE+
HEALTH CHAMPION PACKAGE FLOCCULATIONMETHOD, CMIA, SERUM ,EDTA WB, BLACKTOP, URINE, 5ML, PLASMA RED+ GREY+
955 1569HPG 3500 DAILY SAME DAY
PLUS CLIA, TUBE AGGLUTINATION, PLASMA FLOURIDE, FASTING 3ML, URINE URINE
DIPSTICK/ MANUAL 5ML CONTAINER
MICROSCOPY
SPECTROPHOTOMETRY,5 PART
AUTO ANALYSER, EDTA 3ML, SERUM PURPLE+
HEALTH CHAMPION PACKAGE FLOCCULATIONMETHOD, CMIA, SERUM ,EDTA WB, BLACKTOP, URINE, 5ML, PLASMA RED+ GREY+
956 1569HPR 3500 DAILY SAME DAY
PLUS CLIA, TUBE AGGLUTINATION, PLASMA FLOURIDE, FASTING 3ML, URINE URINE
DIPSTICK/ MANUAL 5ML CONTAINER
MICROSCOPY
DAILY; 1000 HRS,
HEALTH KUNDLI-
Chemiluminescent Microparticle 1500 HRS (For HB
BRIDE/GROOM (ABO Rh
Immunoassay EDTA-WHOLE BLOOD+SERUM + CLINICAL variant),15:30 FOR
957 3901 Blood Group, VDRL, HBsAg, 3500 2 ML+2 ML A NEXT DAY
(CMIA)+Flocculation+ Tube HISTORY IN SPECIFIED FORMAT VDRL, 7:30 AND
HIV 1&2 Antibodies, HB
Agglutination+HPLC 15:30 FOR HBsAg,
Variant Analysis)
HIV 1&2 Antibodies,
AMBIENT/COL
958 RD1402 HEART ENSURE PANEL 8600 PCR-Sequencing EDTA WHOE BLOOD 3ML 2 : 0930 HRS 7 DAYS
D
BY PRIOR
R ,WITHIN 24
HELICOBACTER PYLORI 1 TISSUE / 1.0 ML APPOINTMENT
959 2403 1250 CULTURE BIOPSY / FLUID - STERILE CONTAINER. HOURS OF 7TH DAY
CULTURE (0.3 ML) specify sample
COLLECTION
source
2-8º C (2
HELICOBACTER PYLORI IgA Enzyme Linked Immnunosorbent
960 7736 2300 SERUM 1.0 ML (0.5 ML) DAYS), >2 3: 1100 HRS SAME DAY
ANTIBODIES assay
DAYS- 20 °C
2-8º C (2
HELICOBACTER PYLORI IgG Enzyme Linked Immnunosorbent
961 7761 2300 SERUM 1.0 ML (0.5 ML) DAYS), >2 3: 1100 HRS SAME DAY
ANTIBODIES assay
DAYS- 20 °C
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8º C (2
HELICOBACTER PYLORI IgM Enzyme Linked Immnunosorbent
962 7986 2700 SERUM 1.0 ML (0.5 ML) DAYS), >2 3: 1100 HRS SAME DAY
ANTIBODIES assay
DAYS- 20 °C
HEMODIALYSIS WATER DIALYSIS WATER/ DIALYSATE/ R. O. WATER
963 1221DLW 1000 CULTURE 10.0 ML (5.0) ML R DAILY :15:30 HRS 3RD DAY
CULTURE IN STERILE LEAK PROOF CONTAINER
HEMOGLOBIN &
964 5112 HEMATOCRIT, EDTA WHOLE 170 5 PART AUTO ANALYSER EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY
BLOO
HEMOGLOBIN BY
965 5112DR 120 CYANMETHEMOGLOBIN EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY
CYANMETHEMOGLOBIN
WB-EDTA (AGE, CLINICAL HISTORY IN
HEMOGLOBIN VARIANT
966 3834 1050 HPLC SPECIFIED FORMAT AND CBC(IF 3.0 ML (2.0 ML) A DAILY:15:00 HRS NEXT DAY
ANALYSIS
PERFORMED) FINDINGS MANDATORY)

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
HEMOPHILIA PANEL (APTT, PLASMA *- AT MINUS 20° C(DOUBLE TWO ALIQOUTS OF 2ND & 4TH TUES :
967 3897 4000 CLOT BASED AT -20°C & SAME DAY
FACTOR VIII, FACTOR IX) CENTRIFUGED PLASMA)* + CLINICAL 1.5 ML EACH 11:00 HOURS
TRANSPORTE
HISTORY
D IN DRY ICE)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
HEPAR-1 [ANTI-HUMAN
968 Z257K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
HEPATOCYTE )
IT WILL BE CHARGED FOR TISSUE
PROCESSING
HEPATITIS A & B VIRUS
EVALUATI0N (HEP A IgG & CHEMILUMINESCENT 2-8°C (7 DAYS)
DAILY: 0730 HRS &
969 2463 IgM, HBCORE TOTAL & IgM, 7200 MICROPARTICLE IMMUNOASSAY SERUM 3.0 ML (2.0 ML) ,>7 DAYS - SAME DAY
1530 HRS
HBsABS, HBsAg, HBeABS, (CMIA) 20°C
HBeAg)
CHEMILUMINESCENT 2-8º C (3
DAILY:0730 am,
970 6014 HEPATITIS A IGG ANTIBODY 1100 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML(0.5 ML) DAYS), >3 SAME DAY
1530 pm HRS
(CMIA) DAYS- 20 °C
CHEMILUMINESCENT 2-8°C (7 DAYS)
HEPATITIS A VIRUS IgG & IgM DAILY: 0730 HRS &
971 2460 950 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) ,>7 DAYS - SAME DAY
ANTIBODIES 1530 HRS
(CMIA) 20°C
CHEMILUMINESCENT 2-8°C (7 DAYS)
HEPATITIS A VIRUS IgM DAILY: 0730 HRS &
972 2451 1100 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) ,>7 DAYS - SAME DAY
ANTIBODIES 1530 HRS
(CMIA) 20°C
AMBIENT:3
CHEMILUMINESCENT
HEPATITIS B CORE TOTAL DAYS, 2-8°C DAILY: 0730 HRS &
973 2452 1100 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) SAME DAY
ANTIBODIES (7DAYS) ,>7 1530 HRS
(CMIA)
DAYS -20°C
CHEMILUMINESCENT
HEPATITIS B E ANTIBODY, 2-8°C (7 days) DAILY: 0730 HRS &
974 2455 1050 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) SAME DAY
SERUM ,>7 days -20°C 1530 HRS
(CMIA)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
HEPATITIS B SURFACE CHEMILUMINESCENT 2-8°C 14
DAILY: 0730 HRS &
975 2453QN ANTIBODIES (HBsAb), TOTAL 1000 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) DAYS) ,>14 SAME DAY
1530 HRS
WITH TITRE (CMIA) DAYS -20°C
HEPATITIS B SURFACE CHEMILUMINESCENT 2-8°C 14
DAILY: 0730 HRS &
976 2449 ANTIGEN NEUTRALIZATION 1300 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.5 ML) DAYS) ,>14 SAME DAY
1530 HRS
(WITH CONFIRMATION) (CMIA) DAYS -20°C
HEPATITIS B SURFACE
977 2470 550 CMIA/MEIA SERUM 1 ML RED/GEL DAILY SAME DAY
ANTIGEN, SERUM
HEPATITIS B SURFACE RAPID SANDWICH
978 2470R 450 SERUM 1 ML RED/GEL DAILY SAME DAY
ANTIGEN, SERUM IMMUNOASSAY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
HEPATITIS B VIRUS CORE
979 Z077K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ANTIGEN
IT WILL BE CHARGED FOR TISSUE
PROCESSING
CHEMILUMINESCENT 2-8°C (7 DAYS)
HEPATITIS B VIRUS CORE IgM DAILY: 0730 HRS &
980 2457 1100 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) ,>7 DAYS - SAME DAY
ANTIBODIES 1530 HRS
(CMIA) 20°C
HEPATITIS B VIRUS CHEMILUMINESCENT 2-8°C (7 DAYS)
DAILY: 0730 HRS &
981 2461 EVALUATION (HBCORE TOTAL 4250 MICROPARTICLE IMMUNOASSAY SERUM 3.0 ML (2.0 ML) ,>7 DAYS - SAME DAY
1530 HRS
& IgM, HBsABS, HBsAg) (CMIA) 20°C
CHEMILUMINESCENT 2-8°C (7 DAYS)
DAILY: 0730 HRS &
982 2456 HEPATITIS Be VIRUS ANTIGEN 1000 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) ,>7 DAYS - SAME DAY
1530 HRS
(CMIA) 20°C
CHEMILUMINESCENT 2-8°C (7 DAYS)
HEPATITIS Be VIRUS ANTIGEN DAILY: 0730 HRS &
983 2462 1700 MICROPARTICLE IMMUNOASSAY SERUM 2.0 ML (1.0 ML) ,>7 DAYS - SAME DAY
/ ANTIBODY EVALUATION 1530 HRS
(CMIA) 20°C
CHEMILUMINESCENT
2-8°C (7 DAYS) DAILY: 0730 HRS &
984 2446 HEPATITIS C ANTIBODIES 1500 MICROPARTICLE IMMUNOASSAY SERUM 1.0 ML (0.5 ML) SAME DAY
,>7DAYS -20°C 1530 HRS
(CMIA)
HEPATITIS C VIRUS RNA,
985 7486 8750 COBAS TAQMAN PLASMA EDTA 3.0 ML (2.5 ML) F DAILY 8.00 A.M NEXT DAY :20:00 hrs
QUANTITATIVE
2-8º C (7
HEPATITIS DELTA VIRUS IgG Enzyme Linked Immnunosorbent
986 2458 1800 SERUM 2.0 ML (1.0 ML) days), >7 days- 2: 1100 HRS SAME DAY
ANTIBODIES assay
20 °C
2-8º C (7
HEPATITIS E VIRUS IgG Enzyme Linked Immnunosorbent
987 2466G 1250 SERUM 1.0 ML (0.5 ML) days), >7 days- 3: 1130HRS SAME DAY
ANTIBODIES assay
20 °C
2-8º C (7
HEPATITIS E VIRUS IgM Enzyme Linked Immnunosorbent
988 2466M 1800 SERUM 1.0 ML (0.5 ML) days), >7 days- DAILY: 1130 HRS SAME DAY
ANTIBODIES assay
20 °C
989 2464 HEPATITIS G VIRUS RNA 4950 REVERSE TRANSCRIPTASE PCR EDTA PLASMA 2.0ML F FRI:1030 HRS TUE: 1800 HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
HEPATITIS SCREENING PANEL AUTOMATED CELL DAILY 18:30HRS
EDTA WB :
(CBC,SGPT, SGOT, TOTAL COUNTER/SPECTROPHOTOMET DAILY FOR CBC 7.30
EDTA WB + DIRECT SMEARS + SERUM 10- 3.0 ML (2.0 ML) + 2 ambient
BILIRUBIN,DIRECT RY/ELISA/ENZYME HRS(HBsAg &HAV
990 5011 3000 12 HRS FASTING (AGE & GENDER IS SMEARS + SERUM /R/F, SERUM SAME DAY
BILIRUBIN,INDIRECT IMMUNOASSAY/CHEMILUMINES IgM:0730 am/15.30
MANDATORY) 2.0 ML 2-8°C (2 days);
BILIRUBIN,HBsAg,HAV CENT MICROPARTICLE pm and HEP E IGM:
F (> 2 days)
IgM,HEP E IGM.) IMMUNOASSAY (CMIA) Daily :1130 pm)

TISSUE IN 10%FORMALIN FOR 24-48 HRS/


PARAFFIN BLOCK+ SITE OF BIOPSY AND
CLINICAL DETAILS MANDATORY.IF TISSUE
HER-2 / neu ONCOPROTEIN (C-
991 Z004K 2300 IMMUNOHISTOCHEMISTRY RECEIVED IT WILL BE CHARGED FOR 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
ERB B2)
TISSUE PROCESSING.* TIME AND
DURATION OF FIXATION SHOULD BE
MENTIONED ON THE TRF.*

BLOCKS .Please send Paraffin blocks with


complete clinical history and previous
histopath report(Mandatory) so as to MONDAY 09:00HRS
HER-2 NEU (> 2 BLOCKS) - MORE THAN 2
992 7205 2300 IHC match the site of the tissue A TO SATURDAY 8 DAYS
CoE Histopathlogy BLOCKS
sample/Paraffin Block numbers belongs to 09:00HRS
the same patient or not. If not received,
will be created as a problem sample.

BLOCKS .Please send Paraffin blocks with


complete clinical history and previous
histopath report(Mandatory) so as to
HER-2 NEU REPORTED - CoE
993 7200 1900 IHC match the site of the tissue UPTO 2 AMBIENT Daily 09:00hrs 8 days
Histopathlogy
sample/Paraffin Block numbers belongs to
the same patient or not. If not received,
will be created as a problem sample.
DAILY:0930 HRS
Hereditary Cancer Panel-
994 RD1482 71000 Next Generation Sequencing EDTA WHOLE BLOOD + CLINICAL HISTORY 6.0 ML ( 4.0 ML) A (EXCEPT SUNDAY 42 Days
Expanded
AND HOLIDAYS)
DAILY:0930 HRS
995 RD1481 Hereditary Cancer Panel-Next 34000 Next Generation Sequencing EDTA WHOLE BLOOD + CLINICAL HISTORY 6.0 ML ( 4.0 ML) A (EXCEPT SUNDAY 42 Days
AND HOLIDAYS)
996 RD1449 Hereditary Pancreatitis Panel 102000 PCR Sequencing EDTA WHOLE BLOOD 6ML A 1, 10.30 am 45 DAYS
2-8º C (4
HERPES SIMPLEX VIRUS 1&2 Enzyme Linked Immnunosorbent
997 9454 1800 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
IGG, ABS assay
DAYS- 20 °C
HERPES SIMPLEX VIRUS DNA
998 7581 4250 REAL TIME PCR CSF / SERUM 1.0 ML (0.5 ML) A/R 2,4,6 :9.00 HRS 3,5,1 : 19.00 HRS
DETECTOR
2-8º C (4
HERPES SIMPLEX VIRUS IgG Enzyme Linked Immnunosorbent
999 9451 700 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
TYPE 1 ANTIBODIES assay
DAYS- 20 °C
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8º C (4
HERPES SIMPLEX VIRUS IgG Enzyme Linked Immnunosorbent
1000 9461 700 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
TYPE 2 ANTIBODIES assay
DAYS- 20 °C
2-8º C (4
HERPES SIMPLEX VIRUS IgM Enzyme Linked Immnunosorbent
1001 9456 920 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
TYPE 1 ANTIBODIES assay
DAYS- 20 °C
2-8º C (4
HERPES SIMPLEX VIRUS IgM Enzyme Linked Immnunosorbent
1002 9466 700 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
TYPE 2 ANTIBODIES assay
DAYS- 20 °C
2-8º C (4
HERPES SIMPLEX VIRUS TYPES Enzyme Linked Immnunosorbent
1003 8051 1950 SERUM 3.0 ML (1.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
1& 2 IgG & IgM ANTIBODIES assay
DAYS- 20 °C
HERPES SIMPLEX VIRUS TYPES 2-8º C (4
Enzyme Linked Immnunosorbent
1004 9471P 1& 2 IgM ANTIBODIES 700 SERUM 1.0 ML (0.5 ML) DAYS), >4 DAILY:0300 am SAME DAY
assay
(COMBINED) DAYS- 20 °C
HETEROPHILE ANTIBODIES 2-8°C (2 DAYS)
LATEX PARTICLE
1005 2116 (HA) (INFECTIOUS 1500 SERUM 1.0 ML (0.5 ML) ,>2 DAYS - DAILY: 1730HRS SAME DAY
AGGLUTINATION
MONONUCLEOSIS) 20°C
1006 RD1459 HFE gene mutations 7500 PCR Sequencing EDTA WHOLE BLOOD 6 ML AMBIENT 1,10AM 10 days
2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS- 8
HIGH SENSITIVE C-REACTIVE
1007 1537D 650 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) MONTHS, IF F DAILY : 18:00 HRS SAME DAY
PROTEIN (hsCRP)
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

HIRSUTISM EVALUATION
PANEL (DHEA, SERUM
Testosterone (Total and Free), 2-8°C (24
RADIOIMMUNOASSAY/CHEMILU SERUM (AGE+GENDER TO BE
1008 1010 LH, FSH, Sex Hormone Binding 5500 5.0 ML (3.0 ML) HRS); F (>24 3,6:1300 HRS SAME DAY
MINECENCE MENTIONED+CLINICAL HISTORY
Globulin, 17 HRS)
hydroxyprogeSTerone)

HIRSUTISM SCREENING PANEL


RADIOIMMUNOASSAY/CHEMILU SERUM (Age+Gender to be 2-8°C (24 hrs);
1009 1009 (DHEA, Testosterone (Total 3500 2.0 ML (1.0 ML) 3,6:1300 HRS SAME DAY
MINECENCE mentioned+CLINICAL HISTORY) F ( >24 hrs)
and Free)

1010 8182 HISTAMINE 6550 ELISA EDTA PLASMA 3.0 ML ( 2.0 ML) FROZEN TUESDAY 0900 HRS 4TH DAY
TISSUE in 10% BUFFERED FORMALIN
HISTOPATH REFLEX TO
1011 9237RFX 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC- BONE BIOPSY
&CLINICAL DETAILS
TISSUE IN 10% BUFFERED FORMALIN
HISTOPATH REFLEX TO
1012 9244RFX 5050 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC PANEL - OTHERS
&CLINICAL DETAILS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
HISTOPATH REFLEX TO TISSUE in 10% BUFFERED FORMALIN
1013 9239RFX CUSTOM IHC PANEL - 1900 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
PROSTATE &CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1014 9241RFX CUSTOM IHC PANEL -BONE 4000 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
MARROW &CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1015 9242RFX CUSTOM IHC PANEL -BRAIN 3750 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
BIOPSY &CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1016 9243RFX CUSTOM IHC PANEL -LIVER 3750 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
BIOPSY &CLINICAL DETAILS
TISSUE IN 10% BUFFERED FORMALIN
HISTOPATH REFLEX TO
1017 9240RFX 1900 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC- UTERUSBIOPSY
&CLINICAL DETAILS
TISSUE IN 10% BUFFERED FORMALIN
HISTOPATH REFLEX TO
1018 9238RFX 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC-BREAST BIOPSY
&CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1019 9235RFX CUSTOM IHC-ENDOBROCHIAL 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
BX &CLINICAL DETAILS
HISTOPATH REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1020 9236RFX CUSTOM IHC-GI ENDOSCOPIC 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
BX &CLINICAL DETAILS
TISSUE IN 10% BUFFERED FORMALIN
HISTOPATHOLOGY REFLEX TO
1021 9234RFX 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
CUSTOM IHC PANEL - COLON
&CLINICAL DETAILS
HISTOPATHOLOGY REFLEX TO TISSUE IN 10% BUFFERED FORMALIN
1022 9233RFX CUSTOM IHC - 1800 IMMUNOHISTOCHEMISTRY (SMALL TISSUE) + SITE OF BIOPSY 1 CM A DAILY:0800 HRS 5 WORKING DAYS
ENDOMETRIUM &CLINICAL DETAILS
TISSUE IN 10%
FORMALIN+
HISTOPATHOLOGY REPORT
1023 1500C 800 MANUAL TISSUE WHOLE TISSUE SITE+ DAILY 3 DAYS
(SMALL BIOPSY)
CLINICAL
DETAILS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

TISSUE IN FORMALIN.CLINICAL DETAILS,


SITE OF THE TISSUE, PATHOLOGY REPORTS
ALONG WITH THE SPECIMEN WILL BE
REQUIRED. IF IT IS A BONE MARROW
SPECIMEN, CBC REPORT WILL ALSO BE
REQUIRED AND FOR BONE SPECIMEN,
HISTOPATHOLOGY REVIEW - MONDAY TO
1024 4062 8800 HISTOPATHOLOGY WILL ALSO REQUIRE MRI & X-RAY OF THE ONE BIOPSY SITE AMBIENT 8 DAYS
CoE Histopathlogy FRIDAY 09:00HRS
PATIENT. IF THE PARAFFIN BLOCKS OF THE
TISSUE ARE TO BE RETURNED BACK TO THE
CLIENT ALONG WITH THE REPORT, A
REQUEST LETTER FROM THE REFERRING
DOCTOR WILL BE REQUIRED ALONG WITH
THE SPECIMEN.

HIV 4TH GEN ASSAY (P24AG +


1025 9916 1000 CMIA/MEIA SERUM 2 ML RED/GEL DAILY SAME DAY
HIV AB), SERU
RAPID QUALITATIVE
1026 9916R HIV ANTIBODIES, SERUM 650 SERUM 2 ML RED/GEL DAILY SAME DAY
IMMUNOASSAY
3.0 (2.0) ML PLASMA
EDTA + WB-EDTA - VIRAL load NEXT DAY:
HIV MONITOR (Viral Load, Abbott m2000 , FLOW PLASMA- EDTA (F); WB-EDTA, WB- DAILY 0800 HRS;
1027 DT4202 7200 3.0 (2.0) ML, WB- F/A CD4/CD8 :1800 HRS; SAME
CD4 / CD8) CYTOMETRY HEPARIN(WB TO REACH WITHIN 48 HRS) DAILY: 1530 HRS
HEPARIN - 3.0 (2.0) DAY
ML

F-HIV-1 VIRAL
3.0 (2.0) ML + WB- LOAD;
6: 1000HRS (FOR VIRAL LOAD NEXT DAY :
HIV ROCHE COBAS MONITOR Abbott m2000, FLOW PLASMA- EDTA (F); WB-EDTA, WB- EDTA - 3.0 (2.0) ML, CD4/CD8:
1028 DT4204 10500 MOLBIO); DAILY: 1800 HRS; CD4/CD8 :1800
(Viral Load, CD4 / CD8) CYTOMETRY HEPARIN (WB TO REACH WITHIN 48 HRS) WB-HEPARIN - 3.0 EDTA A 48
1530 HRS (FLOW) HRS; SAME DAY
(2.0) ML HRS; HEPARIN
A 96 HRS
HIV-1 DNA
1029 9885B 3500 POLYMERASE CHAIN REACTION WB-EDTA/ACD 5.0 ML (3.0 ML) A/R 1,3,5:1000 HRS SAME DAY 1800 HRS
DETECTOR,QUALITATIVE
1030 9939 HIV-1 GENOTYPIC RESISTANCE 14000 PCR-SEQUENCING EDTA-PLASMA + CLINICAL HISTORY 5.0 ML (3.0 ML) F 1:0930 HRS 10 DAYS
3.0 ML (2.0 ML) + 3.0 Viral Load : NEXT DAY:
Abbott m2000 , FLOW PLASMA EDTA (F) / *WB- EDTA / HEPARIN DAILY 0800 HRS;
1031 DT4206 HIV-1 REAL TIME MONITOR 6250 ML (2.0 ML) + 3.0 ML F+A+A 1800 HRS; CD4/CD8 :1800
CYTOMETRY (* SAMPLE TO REACH LAB WITHIN 48 HRS) DAILY: 1530 HRS
(2.0 ML) HRS; SAME DAY
1032 9885 HIV-1 VIRAL Load 5500 Abbott m2000 PLASMA- EDTA 3.0 ML (2.0 ML) F DAILY 0800 HRS NEXT DAY: 1800 HRS
HIV-1 VIRAL LOAD BY REAL
1033 9974 4000 PCR PLASMA- EDTA 3.0 ML (2.0 ML) F 1,3,5: 8.00 A.M 2,4,6 : 20.00 hrs
TIME PCR
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SODIUM HEPARIN WB (SAMPLE IS TO BE
COLLECTED AT LEAST AFTER 3 DAYS OF
LAST DIALYSIS. CROSS MATCH SAMPLE IS
20 ML ADDITIONAL
TO BE COLLECTED AFTER THREE WEEKS OF
DONOR/S, IF ANY,
LAST BLOOD TRANSFUSION. MANDATORY
SET OF MANDATORY
DOCUMENTS TO BE ENCLOSED WITH THE
1034 1349G HLA (A,B,C) 7000 SEROLOGY DOCUMENTS FOR COLD PACK Mon-Fri 11a.m. 3rd day
SAMPLE ARE:- COMPLETELY FILLED IN HLA
EACH TO BE
TRF, ADDITIONAL TRF, PHOTO I.D.PROOFS
ENCLOSED WITH THE
OF PATIENT & DONOR ,DOCTOR'S
SAMPLE.
PRESCRIPTION.) . APPLICABLE FOR SOLID
ORGAN TRANSPLANT ONLY(LIVER &
KIDNEY)

SODIUM HEPARIN WB (SAMPLE IS TO BE


COLLECTED AT LEAST AFTER 3 DAYS OF
LAST DIALYSIS. CROSS MATCH SAMPLE IS
20 ML ADDITIONAL
TO BE COLLECTED AFTER THREE WEEKS OF
DONOR/S, IF ANY,
LAST BLOOD TRANSFUSION. MANDATORY
SET OF MANDATORY
DOCUMENTS TO BE ENCLOSED WITH THE
1035 1706G HLA (DR/DQ) 7000 SEROLOGY DOCUMENTS FOR COLD PACK Mon-Fri 11a.m. 3rd day
SAMPLE ARE:- COMPLETELY FILLED IN HLA
EACH TO BE
TRF, ADDITIONAL TRF, PHOTO I.D.PROOFS
ENCLOSED WITH THE
OF PATIENT & DONOR ,DOCTOR'S
SAMPLE.
PRESCRIPTION.) APPLICABLE FOR SOLID
ORGAN TRANSPLANT ONLY (LIVER &
KIDNEY)
EDTA WHOLE BLOOD . MANDATORY
DOCUMENTS TO BE ENCLOSED WITH THE
SAMPLE ARE:- COMPLETELY FILLED IN HLA
1036 9971 HLA A, B, DR LOCI TYPING PCR 19000 PCR-SSO 10.0 ML ( 5.0 ML) A DAILY: 1230 HRS 3RD DAY
TRF, ADDITIONAL TRF, PHOTO I.D.PROOFS
OF PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
WB-EDTA + HEPARIN (WB TO REACH 3.0 ML (2.0 ML) + 3.0
1037 1350 HLA B27 (FLOWCYTOMETRY) 2200 FLOW CYTOMETRY A DAILY:1430 HRS SAME DAY 1800 HRS
WITHIN 72 HRS) ML (2.0 ML)
1038 1348 HLA B27 (PCR) 3800 POLYMERASE CHAIN REACTION WB-EDTA 3.0 ML (2.0 ML) A DAILY: 08:00 A.M. NEXT DAY: 20:00 hrs
WB-EDTA+ MANDATORY DOCUMENTS TO
BE ENCLOSED WITH THE SAMPLE ARE:-
COMPLETELY FILLED IN HLA TRF,
1039 9917 HLA Class I A LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
WB-EDTA+ MANDATORY DOCUMENTS TO
BE ENCLOSED WITH THE SAMPLE ARE:-
COMPLETELY FILLED IN HLA TRF,
1040 9911 HLA Class I B LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
WB-EDTA+ MANDATORY DOCUMENTS TO
BE ENCLOSED WITH THE SAMPLE ARE:-
COMPLETELY FILLED IN HLA TRF,
1041 9913 HLA Class I C LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
WB-EDTA+ MANDATORY DOCUMENTS TO
BE ENCLOSED WITH THE SAMPLE ARE:-
COMPLETELY FILLED IN HLA TRF,
1042 9914 HLA Class II DQ LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
WB-EDTA+ MANDATORY DOCUMENTS TO
BE ENCLOSED WITH THE SAMPLE ARE:-
COMPLETELY FILLED IN HLA TRF,
1043 9915 HLA Class II DR LOCUS 6000 PCR-SSO 6.0 ML (3.0) ML A Daily 3 rd DAY
ADDITIONAL TRF, PHOTO I.D.PROOFS OF
PATIENT & DONOR ,DOCTOR'S
PRESCRIPTION.)
1044 9920 HLA DQ Typing 7000 PCR-SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3ML) A 1:0930 HRS 6:1830 HRS

WB- EDTA | BM / WB- HEPARIN | BM / 3-4 CC (1CC) / 3-4 CC


1045 1675BO HLA-DR-PERCENT 4700 FLOW CYTOMETRY FLUIDS- EDTA/HEPARIN /SMEARS + (1CC) / 3-4 CC (1CC) A DAILY:1530 HRS NEXT DAY BY 6.00PM
CLINICAL HISTORY / 3-4 CC (1CC)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
HMB-45 (MELANOMA
1046 Z062K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:8:00 HRS 3RD DAY
MARKER)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
FASTING FLUORIDE PLASMA WITH FLUORIDE
Daily, 10:00AM,
FASTING SERUM SIMULTANEOUSLY OF PLASMA 2-8°C
SPECTROPHOTOMETRY/ DAILY (MON TO
1047 7561 HOMA 1400 SAME DAY COLLECTION. (AGE & GENDER 2ML (1.0ML) (3 DAYS) AND NEXT DAY
CHEMILUMINESCENCE SAT): 0500, 1600
OF THE PATIENT IS MANDATORY FOR SERUM
hrs FOR INSULIN
REPORTING) FROZEN ONLY
SERUM / PLASMA-EDTA - CENTRFUGE
SAMPLES AND REMOVE SERUM OR 2-8°C (48 DAILY (MON TO
1048 3344 HOMOCYSTEINE 1300 CHEMILUMINESCENCE PLASMA FROM RED BLOOD CELLS AS 1.0 ML (0.5 ML) HRS); F (>48 SAT): SAME DAY
SOON AS POSSIBLE TO ENSURE ACCURATE HRS) 0500,1430,1600 hrs
MEASUREMENT.
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
HOMOCYSTEINE REFLEX VIT
B12 AND FOLIC ACID (If SERUM / PLASMA-EDTA - SEPARATE DAILY (MON TO
2-8°C (48 hrs);
1049 9203RFX Homocysteine value is high 1800 CHEMILUMINESCENCE SAMPLE IMMEDIATELY AFTER 2.0ML (1.0ML) SAT): SAME DAY
F (>48 hrs)
perform VIT B12 AND FOLIC COLLECTION. FASTING 0500,1430,1600 hrs
ACD)
SATURDAY &
URINE, RANDOM + CLINICAL HISTORY
1050 3344U HOMOCYSTEINE, URINE 1300 QUALITATIVE 20.0ML (10.0ML) FROZEN WEDNESDAY 4 DAYS
MANDATORY
09:00HRS
SATURDAY &
URINE, RANDOM. CLINICAL DETAILS OF
1051 0017LS HOMOGENTISIC ACID, URINE 850 QUALITATIVE 20.0 ML (10.0ML) FROZEN WEDNESDAY 4TH DAY
THE PATIENT IS MANDATORY.
09:00HRS
HP & BREAST PANEL
PROGNOSIS (LARGE
SPECIMEN {ONE BIG/ TWO
TISSUE IN 10%FORMALIN / PARAFIN 3 WORKING DAYS/ 7
SMALL}, DNA PLOIDY, FC,
1052 1804S 6700 IMMUNOHISTOCHEMISTRY BLOCK + SITE OF BIOPSY AND CLINICAL 1 CM / 1 BLOCK A DAILY:0800 HRS WORKING DAYS FOR DNA
BLOCK {DNA AND CELL
DETAILS MANDATORY PLOIDY
CYCLE}, ESTROGEN
RECEPTOR, PROGESTERONE
RECEPTOR, Her-2/neu IHC)

TISSUE IN FORMALIN/2BLOCKS & 2


HP REVIEW WITH CMV STUDY SLIDES.CLINICAL DETAILS, SITE OF THE MONDAY TO
1053 7197 2500 HISTOPATHOLOGY NOT APPLICABLE AMBIENT 8 DAYS
BY DR.ANJALI AM TISSUE, PATHOLOGY REPORTS ALONG FRIDAY 09:00HRS
WITH THE SPECIMEN WILL BE REQUIRED.

GENITAL SWABS – 2
GENITAL SWABS / LBC SAMPLE/
SWABS, FORMALIN
FORMALIN FIXED TISSUE PARAFFIN
FIXED TISSUE
1054 1820 HPV DNA DETECTOR 2750 POLYMERASE CHAIN REACTION BLOCKS / CERVICAL/ ORAL SCRAPINGS ON A 2,4,6 :9.00 HRS 3,5,1 19:00 HRS
PARAFFIN BLOCKS –
SLIDES -AIR DRIED + CLINICAL HISTORY
0.5 GM, CERVICAL
(AGE & SEX)
SLIDES- 3

SMEARS -4 (2 FIXED
FOR PAP + 2 AIR
DRIED FOR HPV)
FIXED UNSTAINED SMEARS (FOR PAP)
+
AND
DAIILY:1530 (PAP
GENITAL SWABS / CERVICAL SCRAPINGS NEXT DAY FOR PAP SMEAR
HPV DNA Detector & PAP POLYMERASE CHAIN REACTION GENITAL SWABS – 2 SMEAR) & 2,4 & 6:
1055 1821 2650 ON SLIDES (FOR HPV-PCR) A & 3,5,1 : 1900 hrs FOR HPV
Smear / CYTOLOGY SWABS OR 0900 HRS (HPV-
+ DNA DETECTOR
FORMALIN FIXED PCR)
SITE OF COLLECTION
TISSUE/PARRAFIN
CLINICAL HISTORY & AGE & SEX
BLOCK-1 OR
ENDOCERVICAL
SCRAPPINGS/
SWABS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
LBC SAMPLES/ CERVICAL SWABS /
CERVICAL SCRAPINGS / CERVICAL BIOPSY
1056 1819 HPV TYPING BY SEQUENCING 2150 PCR-SEQUENCING 1/1/1/1 A 4: 0930 HRS 1 19:00 HRS
IN STERILE VIAL / PARAFFIN BLOCK +
CLINICAL HISTORY
2-8º C (3
Enzyme Linked Immnunosorbent 1.0 ML (0.5 ML) + 1.0
1057 7781 HTLV I & II ANTIBODIES 5000 SERUM DAYS), >3 5:1030 HRS SAME DAY
assay ML (0.5 ML)
DAYS- 20 °C
2-8°C (48 hrs);
Enzyme Linked Immnunosorbent
1058 9979 h-tTG/DGP 1850 SERUM 2.0 ML (1.0 ML) -20°C (>48 3,6 : 1000 HRS SAME DAY
assay
hrs)
HUNTINGTON DISEASE
1059 RD1409 5800 PCR / Fragment Analysis EDTA WHOLE BLOOD + clinical history 10.00 ML AMBIENT 3: 0930 HRS 9 DAYS
MOLECULAR ANALYSIS
HYBRID CAPTURE 2 HIGH RISK LBC/THINPREP, SUREPATH, DIGENE Only Wednesday at
1060 1823 3100 Diagen DNA Hybrid Capture 5ML A Same day
HPV DNA TEST CERVICAL SAMPLER 8:00 am
SERUM 3 ML, RED+ URINE
SPECTROMETRY, DIPSTICK/
1061 1021 HYPERTENSION PROFILE 1700 SERUM, PLASMA FLOURIDE, URINE PLASMA FLOURIDE CONTAINER+ DAILY SAME DAY
MANUAL MICROSCOPY
2ML, URINE 5 ML GREY
2: 1100 (ASCA IgA
A/R AND
AND
IBD SCREENING PANEL (ASCA STRICTLY
Enzyme Linked Immnunosorbent IgG)DAILY:1100,
1062 1020 IgA, ASCA IgG, ANCA) 4000 SERUM 2 ML FROZEN FOR SAME DAY
assay / IMMUNOFLOROSCENCE 1530 HRS (ANCA),
ASCA IgG &
HRS
IgA required

PURE & MODERATE


IDENTIFICATION - GRAM
1063 1282GNID 1100 IDENTIFICATION BY VITEK PURE FRESHLY SUB-CULTURED ISOLATE OBSERVABLE R DAILY: 15:00 HRS 3RD DAY
NEGATIVE ORGANISM
GROWTH

PURE & MODERATE


IDENTIFICATION - GRAM
1064 1281GPID 1100 IDENTIFICATION BY VITEK PURE FRESHLY SUB-CULTURED ISOLATE OBSERVABLE R DAILY: 15:00 HRS 3RD DAY
POSITIVE ORGANISM
GROWTH

TISSUE IN 10%FORMALIN / PARAFFIN


IDH1 AND IDH2 GENE BLOCK -SITE OF BIOPSY & CLINICAL 0.5 CM X 0.5 CM X WEDNESDAY:1000
1065 RD1475 6500 PYROSEQUENCING A 10 DAYS
MUTATIONS DETAILS MANDATORY IF TISSUE RECD. 0.5 CM HRS
TISSUE PROCESSING WILL BE CHARGED

2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
1066 1506D IgA 700 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY : 16:30hrs SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
TISSUE IN MICHEL'S TRANSPORT MEDIA +
1067 1523P IgA ON TISSUE - PHOTO 1300 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
CLINICAL HISTORY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN MICHEL'S TRANSPORT MEDIA +
1068 1523 IgA, IFA 1400 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
CLINICAL HISTORY
2-8°C (8
DAYS); F (> 8
IgA, IgM & IgG 10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
1069 1045 IMMUNOGLOBULIN, 2100 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY : 16:30HRS SAME DAY
QUANTITATIVE MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

WB- EDTA | BM / WB- HEPARIN / BM/ 3-4 CC (1CC) / 3-4 CC


1070 1675BI IgD HEAVY CHAIN (SURFACE) 3000 FLOW CYTOMETRY EDTA FLUID /HEPARIN FLUID /SMEARS + (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
CLINICAL HISTORY / 3-4 CC (1CC)

2-8°C (24 HRS) 3,5:


1071 3960 IGF BINDING PROTEIN-3 3400 CHEMILUMINESCENCE SERUM (AGE AND GENDER MANDATORY) 2.0 ML SAME DAY
; F (3 Months) 0500,1430,1600 hrs

2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
1072 1505D IgG 700 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY : 16:30HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)
IgG + IgA + IgM + C-3 + C1q + IMMUNO FLUORESCENT ASSAY / TISSUE IN MICHEL'S TRANSPORT MEDIA +
1073 1527 4050 1CM A DAILY: 1000 HRS 4 WORKING DAYS
FIBRINOGEN ON TISSUE HP CLINICAL HISTORY
IgG + IgA + IgM + C-3 + C1q +
IMMUNO FLUORESCENT ASSAY / TISSUE IN MICHEL'S TRANSPORT MEDIA +
1074 1527P FIBRINOGEN ON TISSUE - 4150 1CM A DAILY: 1000 HRS 4 WORKING DAYS
HP CLINICAL HISTORY
PHOTO
WB- EDTA | BM / WB- HEPARIN | BM / 3-4 CC (1CC) / 3-4 CC
1075 1675BE IgG HEAVY CHAIN (SURFACE) 2750 FLOW CYTOMETRY EDTA / HEP FLUIDS/SMEARS + CLINICAL (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
HISTORY / 3-4 CC (1CC)
TISSUE IN MICHEL'S TRANSPORT MEDIA
1076 1522P IgG ON TISSUE - PHOTO 1500 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
(IFA) + CLINICAL HISTORY
CSF+CLINICAL HISTORY (AGE & GENDER IS
1077 2441 IgG, CSF 1100 NEPHELOMETRY 2.0 ML (1.0 ML) 2-8°C (8 DAYS) 1,4 : 1200 HRS 3 RD DAY
MANDATORY)
TISSUE IN MICHEL'S TRANSPORT MEDIA +
1078 1522 IgG, IFA 1400 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
CLINICAL HISTORY
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F 2nd &4th WED :
1079 9548 IGG1 30000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) SAME DAY
WITHIN 24 12:00 HRS
MANDATORY)
HRS. OF
COLLECTION)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F 2nd &4th WED :
1080 9548A IGG2 30000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) SAME DAY
WITHIN 24 12:00 HRS
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F 2nd &4th WED :
1081 9548B IGG3 30000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) SAME DAY
WITHIN 24 12:00 HRS
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
30 DAYS, IF F
1082 9548C IGG4 6750 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 4 : 12:00 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (8
DAYS); F (> 8
10 -12 HRS FASTING SERUM + CLINICAL DAYS-90
1083 1508D IgM 700 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY : 16:30HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

3-4 CC (1CC) / 3-4 CC


WB- EDTA | BM / WB- HEPARIN | BM /
1084 1675BG IgM HEAVY CHAIN (SURFACE) 2750 FLOW CYTOMETRY (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
FLUIDS/SMEARS + CLINICAL HISTORY
/ 3-4 CC (1CC)
TISSUE IN MICHEL'S TRANSPORT MEDIA +
1085 1524P IgM ON TISSUE - PHOTO 1500 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
CLINICAL HISTORY
TISSUE IN MICHEL'S TRANSPORT MEDIA +
1086 1524 IgM, IFA 1400 IMMUNO FLUORESCENT ASSAY 1CM A DAILY: 1000 HRS 4 WORKING DAYS
CLINICAL HISTORY
1087 RD1428 IgVH GENE MUTATION 8700 DNA sequencing BONE MARROW EDTA/WB EDTA) 4.0 ML + 2.0 ML A 4: 0930 HRS 7 DAYS
IHC (PHOTO), TISSUE / TISSUE FIXED IN 10%FORMALIN /
1088 P0003 300 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:800 HRS 3 WORKING DAYS
PARAFFIN BLOCK PARAFFIN BLOCK
Ambient/FRO
1089 RD1436 IL28B Genotyping 5000 PCR Sequencing WB EDTA/EDTA PLASMA 3-5 ml 3:0930 HRS 5 DAYS
ZEN
2ND AND 4TH
1090 9949 IL-6 (INTERLUEKIN-6) 3200 ENZYME IMMUNOASSAY SERUM 1.0 ML(0.5 ML) FROZEN -20°C SAME DAY 1900 HRS
WED:1000 AM
2-8°C (7
IMMUNOFIXATION SERUM (CLINICAL HISTORY, AGE &
1091 3125 6500 IMMUNOELECTROPHORESIS 1.0 ML (0.8 ML) DAYS); F ( 7 - 2,3,5: 1200 hrs SAME DAY
ELECTROPHORESIS GENDER IS MANDATORY )
30 DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (7
IMMUNOFIXATION
1092 3125C 6500 IMMUNOELECTROPHORESIS CSF + CLINICAL HISTORY 5.0 ML DAYS); F ( 7 - 2,3,5: 1200 hrs SAME DAY
ELECTROPHORESIS, CSF
30 DAYS)
URINE -24 HOURS WITHOUT
PRESERVATIVE & REFRIGERATE DURING
2-8°C (7
IMMUNOFIXATION COLLECTION) +
1093 3125U 9000 IMMUNOELECTROPHORESIS 20.0 ML (15.0 ML) DAYS); F ( 7 - 2,3,5: 1200 hrs SAME DAY
ELECTROPHORESIS, URINE MENTION 24 HRS. TOTAL URINE VOLUME
30 DAYS)
ON TRF ALONG WITH PATIENT AGE, GEND
ER AND CLINICAL HISTORY DETAILS.

DRY BLOOD SPOT with complete CLINICAL


IMMUNOREACTIVE HISTORY form including birth date & birth
Enzyme Linked Immnunosorbent 2-8°C (14
1094 3307 TRYPSINOGEN (NEONATAL 450 time.(Dried Blood spot should be ideally 2 (1) 1,4:1030 HRS NEXT DAY
assay DAYS)
SCREENING) collected within 3rd and 5th day of life
after birth)
2-8º C (5
Enzyme Linked Immnunosorbent EVERY TUE:1030
1095 9609I INFLUENZA VIRUS A IgG 2100 SERUM 0.500 ML (0.250 ML) DAYS), >5 SAME DAY 1900 HRS
assay HRS
DAYS- 20 °C
2-8º C (5
Enzyme Linked Immnunosorbent EVERY TUE:1030
1096 9610I INFLUENZA VIRUS A IgM 2100 SERUM 0.500 ML (0.250 ML) DAYS), >5 SAME DAY 1900 HRS
assay HRS
DAYS- 20 °C
2-8º C (5
Enzyme Linked Immnunosorbent EVERY TUE:1030
1097 9605I INFLUENZA VIRUS B IgG 2100 SERUM 0.500 ML (0.250 ML) DAYS), >5 SAME DAY 1900 HRS
assay HRS
DAYS- 20 °C
2-8º C (5
Enzyme Linked Immnunosorbent EVERY TUE:1030
1098 9607I INFLUENZA VIRUS B IgM 2100 SERUM 0.500 ML (0.250 ML) DAYS), >5 SAME DAY 1900 HRS
assay HRS
DAYS- 20 °C
2-8°C (48
DAILY (MON TO
1099 3983 INHIBIN A (DIMERIC) 1600 CHEMILUMINESCENCE SERUM + CLINICAL HISTORY 1.0 ML (0.5 ML) HRS); F (>48 SAME DAY
SAT) 1430 hrs
HRS)
2-8°C (24
1100 3339 INHIBIN B 2200 ENZYME IMMUNOASSAY SERUM 2.0 ML (1.0)ML HRS),>24 HRS - 4:1100 HRS SAME DAY 1900 hrs
20°C
4:1000 HRS FOR
Inhibin B,
INHIBIN B,LH, FSH & Prolactin 2-8°C < 24
ENZYME IMMUNOASSAY/ SERUM (Age+Gender to be DAILY (MON TO
1101 1013 (Inhibin B, LH, FSH, & 3100 3.0 ML (1.0 ML) HRS) ; F ( > 24 SAME DAY
CHEMILUMINESCENCE mentioned+CLINICAL HISTORY) SAT): 0500, 1900
Prolactin) HRS )
hrs for LH,FSH &
Prolactin.
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
INHIBIN
1102 Z0149K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (24
INSULIN LIKE GROWTH 3,5:
1103 3194 2500 CHEMILUMINESCENCE SERUM 2.0 ML (1.0)ML HRS); F (3 SAME DAY
FACTOR-1 (IGF-1) 0500,1430,1600 hrs
Months)
FASTING SERUM ( ORAL HYPOGLYCEMIC
AGENTS/ SUREPTITIOUS INSULIN CAUSES 2-8°C (24 DAILY (MON TO
1104 3192 INSULIN, Serum (Fasting) 1000 CHEMILUMINESCENCE ELEVATED INSULIN VALUE, FREEZE THE 1.0 ML (0.5 ML) HRS); F (>24 SAT): SAME DAY
SAMPLE IMMEDIATELY AFTER HRS) 0500,1430,1600 hrs
SEPARATION)
PP SERUM ( ORAL HYPOGLYCEMIC
AGENTS/ SURREPTITIOUS INSULIN CAUSES 2-8°C (24 DAILY (MON TO
INSULIN, Serum (POST-
1105 3192A 1000 CHEMILUMINESCENCE ELEVATED INSULIN VALUE, FREEZE THE 1.0 ML (0.5 ML) HRS); F (>24 SAT): SAME DAY
PRANDIAL)
SAMPLE IMMEDIATELY AFTER HRS) 0500,1430,1600 hrs
SEPARATION)
2-8°C ( < 48
Enzyme Linked Immnunosorbent
1106 9919I INTRINSIC FACTOR IgG 2300 SERUM 0.500 ML (0.250 ML) hrs) ; F ( > 48 5: 1030 HRS SAME DAY
assay
hrs )
1107 3532D IRON, SERUM 400 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
EDTA WHOLE BLOOD / EDTA BONE
1108 RD1310 JAK2 EXON 12 MUTATION 6500 PCR-SEQUENCING MARROW + CLINICAL HISTORY IN 5 ML (3ML) A 1,5: 0930 HRS 7 DAYS
SPECIFIED FORMAT
EDTA WHOLE BLOOD / EDTA BONE
JAK2 V617F MUTATION 5 ML (3 ML)/5 ML (3
1109 8386 6500 REAL TIME PCR MARROW + CLINICAL HISTORY IN A 1,3, 5: 0930 HRS 4, 6, 2 : 1830 HRS
DETECTION ML)
SPECIFIED FORMAT
JAPANESE ENCEPHALITIS
1110 RD1420 2750 RT-PCR- Sequencing CSF 3.0 ML F 1,4:9.30HRS 3,6: 18.00 HRS
VIRUS- RT-PCR
1111 RD1471 JC VIRUS (QUANTITATIVE) 6800 Real time PCR CSF/SERUM/EDTA PLASMA/URINE 3 ML FROZEN 1,4 09:00HRS 5,1 reporting 6pm
SERUM/
PLASMA –
JC/BK DNA PCR EDTA PLASMA,/CSF/ URINE + CLINICAL FROZEN, CSF –
1112 9937 5800 POLYMERASE CHAIN REACTION 5 ML (3ML) 1,4 0930 HRS 5,1:1830 HRS
(QUALITATIVE) HISTORY REFRIGERATE
D; OTHERS
AMBIENT
2-8°C (14
1113 1208 JO-1 IgG ANTIBODIES 1500 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
2-8°C (3
1114 9074 KALA-AZAR 1800 IMMUNOCHROMATOGRAPHY SERUM 1.0 ML DAYS),>3 DAILY: 1530 HRS SAME DAY
DAYS -20 °C
10 -12 HRS FASTING SERUM + CLINICAL
2-8°C (21
1115 1661 KAPPA FREE LIGHT CHAIN 3000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 2,5:1100 HRS NEXT DAY
DAYS)
MANDATORY)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1116 Z031K KAPPA LIGHT CHAIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
24 HRS URINE SAMPLES WITHOUT
PRESERVATIVE & REFRIGERATE DURING
KAPPA LIGHT CHAIN
1117 1661U24 4000 NEPHELOMETRY COLLECTION+ CLINICAL HISTORY, AGE & 10 ML (5 ML) 2-8°C (7 DAYS) 2: 1100 HRS NEXT DAY
QUANTITATIVE, 24 hrs. URINE
GENDER IS MANDATORY (MENTION 24
HRS URINE VOLUME)
KAPPA LIGHT CHAIN
RANDOM URINE + CLINICAL HISTORY, AGE
1118 1661U QUANTITATIVE, URINE 3000 NEPHELOMETRY 10 ML (5 ML) 2-8°C (7 DAYS) 2: 1100 HRS NEXT DAY
& GENDER IS MANDATORY
RANDOM
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1119 Z006K KI-67 (Proliferating Cells) 3000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE FIXED IN 10% BUFFERED FORMALIN
+ SITE OF BIOPSY + CLINICAL DETAILS
KIDNEY BIOPSY REFLEX TO IFA
IMMUNO FLUORESCENT ASSAY / (RENAL FAILURE TEST, LAB
1120 9205RFX + IgG / IgA / IgM / 2600 1CM + 1 CM A DAILY: 1100 HRS 7 WORKING DAYS
HP INVESTIGATIONS, 24 HRS URINE PROTEIN)
C3/C1Q/FIBRINOGEN
AND TISSUE IN MICHEL'S TRANSPORT
MEDIA
SPECTROMETRY,
SERUM 3 ML, URINE RED+URINE
1121 9120 KIDNEY EVALUATION PANEL 1 600 DIPSTICK/MANUAL SERUM, URINE DAILY SAME DAY
5 ML CONTAINER
MICROSCOPY
SPECTROMETRY, DIPSTICK/ SERUM 3 ML, URINE RED+ URINE
1122 1342 KIDNEY PANEL - 1 840 SERUM, URINE DAILY SAME DAY
MANUAL MICROSCOPY 5 ML CONTAINER
PURPLE+
SPECTROMETRY, DIPSTICK/ SERUM 3 ML,
SERUM, URINE, PLASMA FLOURIDE, EDTA RED+ URINE
1123 1574 KIDNEY PANEL - II 1900 MANUAL MICROSCOPY, 5 PART PLASMA FLOURIDE DAILY SAME DAY
WB CONTAINER+
AUTO ANALYSER 2ML, URINE 5 ML
GREY
KIDNEY STONE SAMPLE ( WITH OR
1124 4161 KIDNEY STONE ANALYSIS 1000 CHEMICAL ANALYSIS 0.5GMS R 2 & 5: 1100 hrs SAME DAY
WITHOUT D/W OR NORMAL SALINE)
Kidney stone analysis by FTIR
1125 4162 (TEST IS DONE IN GURGAON 1500 FTIR STONE ENTIRE STONE AMBIENT Daily Same Day
LAB)
TISSUE IN 10%FORMALIN / PARAFFIN
KRAS codon 61 Mutation BLOCK -SITE OF BIOPSY & CLINICAL 0.5 CM X 0.5 CM X
1126 RD1315 5500 PCR – Sequencing A 2:0930 HRS 9 DAYS
Detection DETAILS MANDATORY IF TISSUE RECD. 0.5 CM
TISSUE PROCESSING WILL BE CHARGED
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
DETAILS MANDATORY IF TISSUE RECD. 0.5 cm X 0.5 cm X Monday, Thursday:
1127 RD1307 KRAS MUTATION DETECTION 5900 PYROSEQUENCING A 5th working days
TISSUE PROCESSING WILL BE 0.5 cm 9.30 hrs
CHARGED/UNSTAINED SLIDES - 5
NOS/CELL BLOCKS
1128 1398 L E CELL 450 MICROSCOPY WB-HEPARIN / EDTA 3.0 ML (2.0 ML) A DAILY: 14:30 SAME DAY
LACTATE DEHYDROGENASE,
1129 1009H 270 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
SERUM
10 -12 HRS FASTING SERUM + CLINICAL
2-8°C (21
1130 1662 LAMBDA FREE LIGHT CHAIN 3000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 2,5:1100 HRS NEXT DAY
DAYS)
MANDATORY)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1131 Z032K LAMBDA LIGHT CHAIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
24 HRS URINE SAMPLES WITHOUT
PRESERVATIVE & REFRIGERATE DURING
LAMBDA LIGHT CHAIN
1132 1662U24 4000 NEPHELOMETRY COLLECTION+ CLINICAL HISTORY, AGE & 10 ML (5 ML) 2-8°C (7 DAYS) 2: 1100 hrs NEXT DAY
QUANTITATIVE, 24 hrs. URINE
GENDER IS MANDATORY (MENTION 24
HRS URINE VOLUME)
LAMBDA LIGHT CHAIN
RANDOM URINE + CLINICAL HISTORY, AGE
1133 1662U QUANTITATIVE, URINE 4000 NEPHELOMETRY 10 ML (5 ML) 2-8°C (7 DAYS) 2: 1100 HRS NEXT DAY
& GENDER IS MANDATORY
RANDOM
PLASMA EDTA.INSTRUCTIONS:
SPECIMEN HAS BEEN COLLECTED AT
TROUGH LEVEL (BEFORE THE NEXT DOSE)
Homogeneous Enzyme CLINICAL HISTORY IS MANDATORY, NAME TUESDAY : 09:00
1134 4063 LAMOTRIGINE 5850 3.0ML(2.0ML) FROZEN 4 DAYS
Immunoassay OF THE DRUG AND DOSAGE HAS TO BE HRS
MENTIONED ON THE TRF..IF NOT
RECEIVED, WILL BE CREATED AS A
PROBLEM SPECIMEN

LAP (LEUCOCYTE ALKALINE


PHOSPHATASE / NEUTROPHIL CYTOCHEMISTRY SPECIAL FRESH PERIPHERAL SMEARS AIR DRIED +
1135 Z207K 1500 3-4 SMEARS A DAILY:15:30 HRS 3RD DAY
ALKALINE PHOSPHATASE STAINS CLINICAL HISTORY
(NAP)SCORE)

TISSUE IN 10%FORMALIN+ SITE OF BIOPSY


LARGE TISSUE /
1136 9316B 2350 HISTOPATHOLOGY SPECIMEN + CLINICAL DETAILS (For bone MORE THAN 3CM A DAILY:1200 HRS 4TH DAY
SPECIMEN+SLIDE RETURN
specimens also send X-RAY)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
LBC REFLEX TO HPV-PCR-
CYTOLOGY SPECIMEN FIXED IN THINPREP / SUREPATH DAIILY:1530 (LBC) &
THINPREP / SUREPATH NEXT DAY
1137 9224RFX 1600 + PRESERVATIVE SOLUTION + CLINICAL 1 VIAL 15 – 30 ºC 2,4: 1000 HRS (HPV-
CYTOLOGY [FULLY - (FOR PAP)
PCR HISTORY, AGE, LMP PCR)
AUTOMATED] + HPV-PCR
SERUM (CLINICAL HISTORY, AGE & 15-30°C (7
1138 9991 LDH ISOENZYMES 6450 ELECTROPHORESIS 2.0 ML (1.0 ML) MON : 1100hrs 4TH DAY
GENDER IS MANDATORY ) DAYS)
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO PRESERVATIVE)
GFAAS WITH ZEEMAN IN METAL FREE SCINTILLATION VIAL 2-8°C (5 days); “1, 3 & 5”, 11:30
1139 9142U24 LEAD, 24 HRS URINE 2150 10-20 ML (5 ML) NEXT DAY
CORRECTION AVAILABLE OR STERILE URINE CONTAINER F (>5 -30 days) HRS
BOTH AVAILABLE FROM SRL (NO
PRESERVATIVE)

IMPROVE/BD, SRL EDTA VACCUTAINER, 2-8°C


GFAAS WITH ZEEMAN “1, 3 & 5”, 11:30
1140 9142 LEAD, BLOOD 2150 WHOLE BLOOD +AGE+SEX MANDATORY 5.0 ML (3.0 ML) (7DAYS); F (>7 NEXT DAY
CORRECTION HRS
FOR REPORTING -30 DAYS)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
1141 9142U LEAD, URINE SPOT 2150 10-20 ML (5 ML) DAYS); F (>5 - “2&5”, 11:30 HRS NEXT DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL NOT
30 DAYS)
BE ACCEPTED
MONDAY 09:00HRS
LEGIONELLA PNEUMOPHILA Immunochromatography FROZEN(STABI
1142 8111 5720 SPOT URINE 20.0ml(10.0ml) TO SATURDAY 3 DAYS
ANTIGEN DETECTION, URINE LITY: 4 DAYS)
09:00hrs

LEGIONELLA PNEUMOPHILA WEDNESDAY


1143 7451 4600 EIA SERUM 2.0ML(1.0ML) R/F 3 DAYS
IGM (SERUM,EIA) 09:00HRS

R < 24 HRS; IF
EXPECTORATED SPUTUM/ BAL - STERILE BY PRIOR PRELIM. 7TH DAY, FINAL
1144 2404 LEGIONELLA SPP. CULTURE 1200 CULTURE 3.0 ML (1.0 ML) >24 HRS THEN
CONTAINER APPOINTMENT 14TH DAY
AT F AT -70°C
3.0 ML (2.0) ML BM /
LEISHMANIA DONOVANI (LD) EDTA / SPLENIC ASPIRATE / BONE
1145 1492 1200 MICROSCOPY WB / 4 (2) BM A DAILY: 14:30, HRS NEXT DAY
BODIES DETECTION MARROW+ SMEAR + CLINICAL HISTORY
SMEARS
MICROSCOPY- NEXT DAY:
LEISHMANIA SPECIES SPLENIC / LIVER ASPIRATE / BONE 1(0.5)GMS / 5.0 BY PRIOR
1146 1420 1250 MICROSCOPY/ CULTURE A PRELIM 7 DAY, FINAL 21ST
CULTURE MARROW / WB- HEPARIN (3.0)ML APPOINTMENT
DAY
2-8°C ( 24
2 ND
Enzyme Linked Immnunosorbent HRS.),
1147 4805 LEPTIN 5100 SERUM 2.0 ML (1.0 ML) WEDNESDAY:11.00 SAME DAY
assay >24HRS. (-
hrs
20°C)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM : 2-8°C
(2 DAYS), F (>
2 DAYS);
URINE : 2-
8°C(24 HRS) For Leptospira
Enzyme Linked Immnunosorbent
SERUM 10- 12 HRS FASTING/ WB-HEPARIN 3.0 ML (1.0 ML) + 3.0 FOR IgG/IgM-1/3/5:
assay / DARKFIELD MICROSCOPY
1148 DT3220 LEPTOCHEQ 2000 / URINE IN PLAIN VACCUTAINER STERILE. ML (1.0 ML) + 20.0 DARKFIELD 1100 HRS, FOR SAME DAY
/ UA / DIPSTICK & MICROSCOPY/
(AGE & GENDER IS MANDATORY) ML (10.0 ML) MICROSCOPY BIOCHEM DAILY
SPECTROPHOTOMETRY
MUST BE :1830 HRS
AMBIENT,
WITHIN
24HRS OF
COLLECTION

A ,WITHIN 24 MICROSCOPY - SAME DAY;


LEPTOSPIRA DARKFIELD & CULTURE; DARKFIELD WB-HEPARIN / URINE & CSF-TO DIRECTLY BY PRIOR
1149 2398 1200 5.0 ML (3.0 ML) HOURS OF CULTURE - PRELIM. 1
CULTURE MICROSCOPY INOCULATE IN MEDIA APPOINTMENT.
COLLECTION WEEK, FINAL 6 WEEKS
A ,WITH IN
WB-HEPARIN / URINE &CSF TO DIRECTLY 3.0 ML (1.0 ML) + 3.0 SAME DAY IF SPECIMEN
1150 1417 LEPTOSPIRA DETECTION 750 DARKFIELD MICROSCOPY 24HRS OF DAILY: 1500 HRS
INOCULATE IN MEDIA ML (1.0 ML) RECEIVED BY 1500 HOURS
COLLECTION
1151 9910 LEPTOSPIRA DNA PCR 2000 POLYMERASE CHAIN REACTION WB-EDTA / URINE IN STERILE CONTAINER 3.0 ML + 10.5 ML A 2,5 0900 HRS 3,6 1900 HRS
2-8°C (5 days);
Enzyme Linked Immnunosorbent
1152 7551 LEPTOSPIRA IgG ANTIBODIES 1100 SERUM 1.0 ML (0.5 ML) -20°C (>5 1,3,5: 1100 HRS SAME DAY
assay
days)
2-8°C (5 days);
Enzyme Linked Immnunosorbent
1153 7621 LEPTOSPIRA IgM ANTIBODIES 1100 SERUM 1.0 ML (0.5 ML) -20°C (>5 1,3,5: 1100 HRS SAME DAY
assay
days)
LEUKEMIA / LYMPHOMA TISSUE IN 10%FORMALIN / PARAFFIN
IMMUNOHISTOCHEMISTRY &
1154 1674S EVALUATION WITH 7800 BLOCK (SITE OF BIOPSY & CLINICAL 1 CM / 1 BLOCK A DAILY:1000 HRS 4 working days
HISTOPATHOLOGY
HISTOPATHOLOGY DETAILS MANDATORY)MANDATORY

LEUKEMIA TRANSLOCATION
PANEL 1 (t(1;19) (q23;p13),
Inv(16)(p13;q22), t(9;22)
EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1155 1625 (q34;q11), t(4;11) (q21;q23), 7500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
t(12;21) (p13;q22),
t(15;17)(q22;q22),
t(8;21)(q22;q22))

LEUKEMIA TRANSLOCATION
PANEL 2 (Inv(16)(p13;q22), EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1156 1626 5500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
t(15;17)(q22;q22), HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
t(8;21)(q22;q22))
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

LEUKEMIA TRANSLOCATION
PANEL 3 (t(1;11) (p32;q23),
t(1;11) (p21;q23), t(4;11)
(q21;q23), t(6;11) (q27;q23),
EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1157 1627 t(9;11) (p22;q23), t(10;11) 9000 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
(p12;q23), t(11;17) (q23;q21),
t(11;19) (q23;p13.1), t(11;19)
(q23;p13.3), Dup MLL
(11q23), t(X;11) (q13;q23))

LEUKEMIA TRANSLOCATION
PANEL 4 t(1; 19) (q23; p13),
t(9; 22) (q34; q11), t(4;11)
EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1158 1628 (q21; q23), t(1;11) (p32; q23), 6800 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
t(11;
19) (q23; p13.3), t(X;11) (q13;
q23)

LEUKEMIA TRANSLOCATION
PANEL 5 t(9; 22) (q34; q11), EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1159 1624 5500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
Dup MLL (11q23), t(11; 17) HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
(q23; q21),

LEUKEMIA TRANSLOCATION
PANEL 6 t(1; 19) (q23; p13),
EDTA WHOLE BLOOD + CLINICAL 5.0 ML (3.0 ML
1160 1678 t(9; 22) (q34; q11), t(4;11) 6500 MULTIPLEX RT-PCR A 1:0930 HRS 5: 1830 HRS
HISTORY/EDTA BONE MARRAOW )/3.0(2.0)
(q21; q23) and t(12; 21) (p13;
q22),

3-4 CC (1CC) / 3-4 CC


WB- EDTA / BM-EDTA / WB- HEPARIN /
1161 1613 LGL PANEL 11300 FLOW CYTOMETRY (1CC) / 3-4 CC (1CC) A DAILY: 1530 HRS NEXT DAY BY 6.00PM
BM HEPARIN+DIRECT SMEAR+HISTORY
/ 3-4 CC (1CC)

1162 3198 LH (LUTEINIZING HORMONE) 400 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
2-8°C (7
SERUM 10- 12 HRS FASTING (AGE &
1163 3369D LIPASE 700 SPECTROPHOTOMETRY 1.0 ML (0.8 ML) DAYS),, F (>7 DAILY:1830 HRS SAME DAY
GENDER IS MANDATORY)
DAYS)
1164 1383 LIPID SCREEN 550 SPECTROPHOTOMETRY 14 HRS. FASTING SERUM SERUM 4 ML RED DAILY SAME DAY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (7
DAYS); F (> 7
12 -14 HRS FASTING SERUM + CLINICAL DAYS-30
1165 3446D LIPOPROTEIN (a) 1000 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) DAYS, IF F DAILY: 1630HRS SAME DAY
MANDATORY) WITHIN 24
HRS. OF
COLLECTION)

12 - 14 HRS FASTING SERUM (TO BE SENT


TO SRL MUMBAI WITHIN 24HRS OF
LIPOPROTEIN
1166 9990 2800 ELECTROPHORESIS COLLECTION STRICTLY IN REFRIGERATED 2.0 ML (1.0 ML) 2-8°C (3 DAYS) 2,4,6 : 1100 hrs 4TH DAY
ELECTROPHORESIS
CONDITION).(CLINICAL HISTORY, AGE &
GENDER IS MANDATORY ).

LIPOPROTEIN-ASSOCIATED 2-8°C (2
ENZYME SERUM (AGE & GENDER OF THE PATIENT
1167 5966 PHOSPHOLIPASE A2 ACTIVITY 9000 2.0 ML (1.0 ML) WEEKS); F (18 1: 1100 hrs SAME DAY
ASSAY/SPECTROPHOTOMETRY IS MANDATORY FOR REPORTING)
(PLAC) MONTHS)
LIQUID BASED CYTOLOGY SPECIMEN FIXED IN THINPREP / SUREPATH
1168 1284 (THINPREP CYTOLOGY / 1200 CYTOLOGY PRESERVATIVE SOLUTION + CLINICAL 1 VIAL 15 – 30 ºC DAILY: 1530 HRS NEXT DAY
SUREPATH CYTOLOGY) HISTORY, AGE, LMP
LIQUID BASED CYTOLOGY SPECIMEN FIXED IN THINPREP / SUREPATH
1169 1284P (THINPREP CYTOLOGY / 1250 CYTOLOGY PRESERVATIVE SOLUTION + CLINICAL 1 VIAL 15 – 30 ºC DAILY: 1530 HRS NEXT DAY
SUREPATH CYTOLOGY) HISTORY, AGE, LMP
2-8°C (24 HRS
1170 4871 LITHIUM 650 ION SELECTIVE ELECTRODE SERUM + (AGE & GENDER IS MANDATORY) 1.0 ML ); F (>24 HRS - DAILY: 1830 HRS SAME DAY
7DAYS)
SPECTROPHOTOMETRY,
SERUM 5 ML+ URINE RED+ URINE
1171 1022 LIVER & KIDNEY PROFILE 1520 DIPSTICK/ MANUAL SERUM + URINE DAILY SAME DAY
5ML CONTAINER
MICROSCOPY
LIVER FUNCTION PROFILE,
1172 1388 900 SPECTROPHOTOMETRY SERUM SERUM 5 ML RED DAILY SAME DAY
SERUM
LIVER FUNCTION TEST
1173 1387 790 SPECTROPHOTOMETRY SERUM SERUM 5 ML RED DAILY SAME DAY
(WITHOUT GGT)
2-8°C (48 hrs);
LIVER KIDNEY MICROSOME 1 Enzyme Linked Immnunosorbent
1174 1115 2100 SERUM 1.0 ML (0.5 ML) -20°C (>48 3,6:1100 HRS SAME DAY
(LKM1) AUTOANTIBODIES assay
hrs)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

LIVER PROFILE #2 (Bilirubin


Total, Protein Total, Albumin,
DAILY: 10:30
Globulin, Aspartate SERUM (10-12 HRS FASTING)+ FASTING
SERUM 3.0 ML (2.0 SERUM 2-8°C hrs,BIOCHEM DAILY
Aminotransferase, Alanine SPECTROPHOTOMETRY /ECLIA/ PLASMA CITRATED* (DOUBLE
1175 1389 1750 ML) + 1.0 ML (0.5 (2 DAYS); F (> 1830 HRS , 0730 SAME DAY
Aminotransferase, Bilirubin CLOT BASED CENTRIFUGED PLASMA)* + (AGE &
ML) 2 DAYS) HRS & 1530 HRS
Direct, Hepatitis B Surface GENDER IS MANDATORY)
FOR HBsAg
Antigen, Prothrombin Time,
Alkaline Phosphatase)

1176 9111 LIVER SCREEN 520 SPECTROPHOTOMETRY SERUM SERUM 5 ML RED DAILY SAME DAY
2-8°C (2
1177 9117 LIVER SCREENING PANEL 500 SPECTROPHOTOMETRY SERUM (10-12 HRS FASTING) 3.0 ML (2.0 ML) DAYS); F DAILY:18:00 HRS SAME DAY
(> 2 DAYS)

AFP--DAILY (MON
TO SAT):
430,1430,1600
EVERY THURSDAY 19:00
HRS; REST--
HRS; SAME DAY
2-8°C (72 1,3:10.30 HRS;EBV
CHEMILUMINESCENCE, ENZYME REPORTING FOR EBV (NA)
1178 DT6302 LIVORHYTHM - 2 5000 SERUM 2 VIALS 3.0 (2.5 ML) HRS), F (>72 (NA) IGG/ IGM
IMMUNOASSAY IGG/IGM, ENTAMOEBA
HRS) 2;5:1000;ENTAMOE
HISTOLYTICA AND
BA HYSTOLYTICA
ECHINOCOCCUS ABS
ABS,
ECHINOCOCCUS
IGG 1:1100

PLASMA -EDTA 3.0


CHEMILUMINESCENT
(2.0) ML (FROZEN),
MICROPARTICLE IMMUNOASSAY
LIVORHYTHM - 4 (HCV RNA SERUM 3.0 (2.0) ML,
(CMIA), ECLIA, REVERSE
{NESTED REVERSE PLASMA-EDTA, SERUM, SMALL TISSUE SMALL TISSUE
TRANSCRIPTASE PCR, DNA PCR, 7 DAYS + AFB SMEAR-48
TRANSCRIPTASE PCR}, HCV BIOPSY / CORE (NEEDLE) BIOPSY / FINE BIOPSY / CORE (HCV) SAT
FLUORESCENT STAIN / ZIEHL HRS ,WK 3, & WK 6 (OR
1179 DT6304 ABS, HBVDNA PCR, Small 6900 NEEDLE ASPIRATION BIOPSY IN (A) (NEEDLE) BIOPSY / F A A 10:30DAILY:0900
NEELSEN STAIN & MGIT 960+LJ WHEN CULTURE IS
tissue biopsy, Special STains, FORMALIN & (B) NORMAL SALINE, FINE NEEDLE HRS
CULTURE , HISTOPATHOLOGY POSITIVE)
AFB Culture, MYCO3PLEX DNA SPECIAL STAINS ASPIRATION BIOPSY
AND SPECIAL
PCR) IN (A) FORMALIN &
STAINS+MICROPARTICLE
(B) NORMAL SALINE,
ENZYME IMMUNOASSAY
SPECIAL STAINS

L-LACTATE, CSF (Only for


1180 WI7441C 1300 SPECTROPHOTOMETRY CSF(PLAIN TUBE) + CLINICAL HISTORY 2.0 ML (1.0 ML) F 1 & 4: 12:00 HRS SAME DAY
Walkin Patient)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
PLASMA FLUORIDE (BLOOD COLLECTION
L-LACTATE, PLASMA (Only for FROM STASIS FREE VEIN TO BE STORE IN
1181 WI7441D 1300 SPECTROPHOTOMETRY 2.0 ML (1.0 ML) F 1 & 4: 12:00 HRS SAME DAY
Walkin Patient) ICE BATH. PLASMA TO BE SEPARATED
WITHIN 30 MIN) + CLINICAL HISTORY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
Lung Cancer Panel (EGFR DETAILS MANDATORY IF TISSUE RECD. 1 paraffin block or 5
1182 4817 16000 Pyrosequencing/FISH A 2,5: 0930 HRS 5 Days/15 Days
Mutation+EML4 ALK by FISH) TISSUE PROCESSING WILL BE unstained slides
CHARGED/UNSTAINED SLIDES - 5
NOS/CELL BLOCKS
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
LUPUS ANTICOAGULANT PLASMA* 2 VIALS- AT MINUS 20° TWO ALIQOUTS OF MON / WED / FRI
1183 5964 2000 CLOT BASED AT -20°C & NEXT DAY
SCREENING PROFILE C(DOUBLE CENTRIFUGED PLASMA)* + 1.5 ML EACH 10:00 HRS
TRANSPORTE
CLINICAL HISTORY
D IN DRY ICE)

LYME DISEASE (BORRELIA Enzyme Linked Immnunosorbent 2-8°C (2 days


1184 2069I 1850 SERUM 1.0 ML (0.2 ML) 4: 1030 HRS SAME DAY
BURGDORFERI IgG) assay ),>2days -20°C

LYME DISEASE (BORRELIA Enzyme Linked Immnunosorbent 2-8°C (2 days


1185 2070I 1850 SERUM 1.0 ML (0.2 ML) 4: 1030 HRS SAME DAY
BURGDORFERI IgM) assay ),>2days -20°C
TISSUE IN 10%FORMALIN / PARAFIN
LYMPH NODE BIOPSY: BLOCK + SITE OF BIOPSY AND CLINICAL
1186 Z221 DIFFERENTIAL DIAGNOSIS 6500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
(CD3,CD20,Bc12) IT WILL BE CHARGED FOR TISSUE
PROCESSING
LYMPH0CYTE
ENUMERATION, BASIC & NK
CELLS
WB-EDTA + HEPARIN 3.0 ML (2.0 ML) + 3.0
1187 1668 (%CD3,%CD4,%CD8,%CD19,% 7500 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
(WB TO REACH WITHIN 48 HRS) ML (2.0 ML)
CD16+56,ABS CD3,ABS
CD4,ABS
CD8,ABSCD19,ABSCD16+56)
LYMPHOCYTE
ENUMERATION, T & B CELLS WB-EDTA + HEPARIN + CLINICAL HISTORY 3.0 ML (2.0 ML) + 3.0
1188 1658B 3400 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
(%CD3,%CD19,ABS CD3,ABS (WB TO REACH WITHIN 48 HRS) ML (2.0 ML)
CD19)
LYMPHOCYTE ENUMERATION,
DAILY:1530 HRS ,
BASIC & HIV -1 FLOW CYTOMETRY WB-EDTA + HEPARIN + SERUM 3.0 ML (2.0 ML) + 3.0 FLOW--A, NEXT DAY BY 7.00PM; HIV
1189 1669 5500 HIV Western blot
ANTIBODIES,HIV ABS, /IMMUNOBLOT (WB TO REACH WITHIN 48 HRS) ML (2.0 ML) A/R/F WESTERN BLOT SAME DAY
1,3,5: 1000 HRS;
WESTERN BLOT
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
LYMPHOCYTE ENUMERATION,
BASIC
WB-EDTA + HEPARIN 3.0 ML (2.0 ML) + 3.0
1190 1671B (%CD3,%CD4,%CD8,%CD19,,A 5500 FLOW CYTOMETRY A DAILY:1530 HRS NEXT DAY BY 6.00PM
(WB TO REACH WITHIN 48 HRS) ML (2.0 ML)
BS CD3,ABS CD4,ABS CD8,ABS
CD19)
TISSUE IN 10%FORMALIN / PARAFIN
LYMPHOMA: DIFFERENTIAL BLOCK + SITE OF BIOPSY AND CLINICAL
1191 Z219 DIAGNOSIS (CD30, CD15, 12000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
CD20, CD3, CD45) IT WILL BE CHARGED FOR TISSUE
PROCESSING
URINE
1192 4866UH MAGNESIUM, 24HRS URINE 470 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
1193 4866H MAGNESIUM, SERUM 500 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
2-8°C (3
1194 1394 MALARIA ANTIBODY 600 IMMUNOCHROMATOGRAPHY EDTA WHOLE BLOOD/SERUM 1.0 ML(0.5 ML) DAYS),>3 DAILY:1530 HRS SAME DAY
DAYS -20 °C
MALARIA ANTIGEN (P. 2-8°C (3
1195 1395 FALCIPARUM/P.VIVAX) 600 IMMUNOCHROMATOGRAPHY WB-EDTA / HEPARIN 3.0 ML (2.0 ML) days),>3 days - DAILY: 1530 HRS SAME DAY
DETECTION 20 °C
MALARIAL PARASITE (M.P),
1196 1397 150 MANUAL MICROSCOPY EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY
EDTA WHOLE BLOO
MALE INFERTILITY PANEL DAILY (MON TO
Serum ( Age+ Gender+ Clinical History
(WITH SEMEN ANALYSIS & SAT): 0500 hrs to
Required )Draw sample between 8 AM to AFTER 3.0 hrs (LH, FSH &
SEMEN FRUCTOSE) CHEMILUMINESCENCE / 2-8°C (48 hrs); 1900 hrs FOR
10AM ,After 3-4 hrs patient has awakened. PROLACTIN, TOTAL
ENZYME IMMUNOASSAY/ CELL SERUM 8.0 Ml (3.0 F ( >48 hrs); F(- LH/FSH/PROLACTIN
WB-HEPARIN SPECIMEN TO REACH US TESTOSTERONE &TSH)
(Testosterone Total, LH, FSH, CULTURE/ CULTURE + mL) ; WB-HEPARIN 20°C); /TOTAL
within 48 hrs + FAMILY HISTORY + Semen ANALYSIS/ SEMEN
1197 5401SF Prolactin, TSH, Blood Lympho 4000 SENSITIVITY BY MIC 5.0 ML (3.0 ML); HEPARIN (A); TESTOSTERONE/
CLINICAL HISTORY in specified format + FRUCTOSE); 10 -12
Culture, Anti sperm BREAKPOINT/ PHYSICAL, URINE 3.0 ML (1.0) URINE (R) TSH & DAILY:0700
DETAILED PHYSICAL FEATURES working days (BLOOD
Antibodies, Urine culture, CHEMICAL & MICROSCOPY/ ML; SEMEN (3.0) ML (MANDATORY HRS FOR BLOOD
URINE(Early morning mid stream LYMPHO CULTURE); 3RD
isolation & Identification + SELIWANOFF ); LYMPHO CULTURE;
collection) STERILE CONTAINER; SEMEN in DAY (FOR URINE C&S);
Sensitivity, Semen Analysis, DAILY: 1700 HRS
plastic disposable container
Semen Fructose) (FOR URINE C&S)

DAILY (MON TO
Serum ( Age+ Gender+ Clinical History
SAT): 0500 hrs to
MALE INFERTILITY PANEL, Required ) **Draw sample between 8 AM
2-8°C (48 hrs); 1900 hrs FOR AFTER 3.0 hrs (LH, FSH &
to 10AM ,After 3-4 hrs patient has
CHEMILUMINESCENCE / SERUM 8.0 Ml (3.0 F ( >48 hrs); F(- LH/FSH/PROLACTIN PROLACTIN, TOTAL
(Testosterone Total, LH, FSH, awakened.**
ENZYME IMMUNOASSAY/ CELL mL) ; WB-HEPARIN 20°C); /TOTAL TESTOSTERONE &TSH) &
Prolactin, TSH, Blood Lympho WB-HEPARIN SPECIMEN TO REACH US
1198 5401 4000 CULTURE/ CULTURE + 5.0 ML (3.0 ML); HEPARIN (A); TESTOSTERONE/ 10 -12 working days
Culture, Anti sperm within 48 hrs + FAMILY HISTORY +
SENSITIVITY BY MIC URINE 3.0 ML (1.0) URINE (R) TSH & DAILY:0700 (BLOOD LYMPHO
Antibodies, Urine culture, CLINICAL HISTORY in specified format +
BREAKPOINT ML (MANDATORY HRS FOR BLOOD CULTURE); 3RD DAY FOR
isolation & Identification + DETAILED PHYSICAL FEATURES
); LYMPHO CULTURE; URINE C&S
Sensitivity) URINE(Early morning mid stream
DAILY: 1700 HRS
collection) STERILE CONTAINER
(FOR URINE C&S)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN
MALIGNANT TUMORS: BLOCK + SITE OF BIOPSY AND CLINICAL
1199 Z242 LYMPHOMA v/s CARCINOMA 3700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
(CD45,CK) IT WILL BE CHARGED FOR TISSUE
PROCESSING
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO PRESERVATIVE)
2-8°C (5
GFAAS WITH ZEEMAN ALIQUOT. IN METAL FREE SCINTILLATION
1200 9146U24 MANGANESE 24 HRS URINE 3300 10-20 ML (5 ML) DAYS); F (>5 - “5”, 11:30 HRS NEXT DAY
CORRECTION VIAL AVAILABLE OR STERILE URINE
30 DAYS)
CONTAINER BOTH AVAILABLE FROM SRL
(NO PRESERVATIVE)
2-8°C (7
GFAAS WITH ZEEMAN
1201 9146 MANGANESE BLOOD 3300 BD, SRL EDTA WHOLE BLOOD 5.0 ML (3.0 ML) DAYS); F (>7 - “5”, 11:30 HRS NEXT DAY
CORRECTION
30 DAYS)
MONDAY 09:00HRS
1202 8424 MANGANESE SERUM ICPMS 4350 ICPMS SERUM 2.0ML(1.0ML) R/F TO SATURDAY 5 DAYS
09:00HRS
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
1203 9146U MANGANESE SPOT URINE 3300 10-20 ML (5 ML) DAYS); F (>5 - “5,” 11:30 HRS NEXT DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL NOT
30 DAYS)
BE ACCEPTED
DRY BLOOD SPOT with complete CLINICAL
MAPLE SYRUP URINE HISTORY form including birth date & birth
2-8°C (14
1204 3322 DISORDERS (NEONATAL 450 Enzymatic time.(Dried Blood spot should be ideally 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
DAYS)
SCREENING) collected within 3rd and 5th day of life
after birth)

SERUM in 2 vials (Clinical Details in


MATERNAL SCREEN specified format, Maternal Date of Birth,
(QUADRUPLE MARKER TEST / Maternal Weight, Maternal Race,
2-8°C (48 hrs); DAILY (MON TO
1205 1275 2nd Trimester Risk 3200 CHEMILUMINESCENCE Maternal H/O Type I Diabetes Mellitus + 2.0 mL (1.0 mL) SAME DAY
F (>48 hrs) SAT): 1100 hrs
assessment, 14-22 Weeks. ( Obstetric USG Report between 10 to 13
AFP, HCG,E3UN & DIA) weeks of gestation+Date of collection)
MANDATORY

SERUM in 2 vials (Clinical Details in


specified format, Maternal Date of Birth,
MATERNAL SCREEN (TRIPLE
Maternal Weight, Maternal Race, 2-8°C (72 hrs);
MARKER TEST / 2nd Trimester DAILY (MON TO
1206 1267 2550 CHEMILUMINESCENCE Maternal H/O Type I Diabetes Mellitus + 2.0 mL (1.0 mL) F (> 72 hrs - SAME DAY
Risk assessment, 14-22 SAT): 1100 hrs
Obstetric USG Report between 10 to 13 15 Days)
Weeks. (AFP, HCG & E3UN)
weeks of gestation+Date of collection)
MANDATORY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

SERUM in 2 vials (Clinical Details in


MATERNAL SCREEN; DOUBLE specified format, Maternal Date of Birth,
MARKER TEST (First trimester Maternal Weight, Maternal Race,
2-8°C (24 hrs); DAILY (MON TO
1207 1268 risk assessment 2500 CHEMILUMINESCENCE Maternal H/O Type I Diabetes Mellitus + 2.0 mL (1.0mL) SAME DAY
F ( >24 hrs) SAT): 1100 hrs
8-13.6 weeks)- PAPA-P & FREE Obstetric USG Report between 10 to 13
B-HCG) weeks of gestation+Date of collection)
MANDATORY

MATERNAL SCREEN;
Phase I (1st
STANDARD INTEGRATED TEST,
Trimester): 2-
Phase I (1st Trimester) : 10 – SERUM IN 2 VIALS (CLINICAL DETAILS IN
8°C (24 hrs); F
13.6 Weeks. (PAPA-P & FREE SPECIFIED FORMAT, DATE OF BIRTH, PHASE -I: SAME DAY
(>24 hrs)
B-HCG). MATERNAL WEIGHT, MATERNAL RACE + DAILY (MON TO PHASE -II: ON NEXT DAY
1208 1277 5250 CHEMILUMINESCENCE 3.0 ML (1.0 ML) Phase II (2nd
Phase II (2nd Trimester): 15- USG REPORT BETWEEN 10 TO 13 WEEKS SAT): 1100 hrs ON RECIEPT OF
Trimester):
22 Weeks. (AFP, HCG, E3UN & OF GESTATION +DATE OF THE SAMPLE
2-8°C (48
DIA). Final risk assessment COLLECTION+LMP DATE) MANDATORY
hrs); F (>48
incorporates first and second
hrs)
trimester results.

MATERNAL SCREENING;
SERUM IN 2 VIALS (CLINICAL DETAILS IN
SEQUENTIAL INTEGRATED
SPECIFIED FORMAT, DATE OF BIRTH,
TEST, Phase I (1st Trimester): Phase I (1st
MATERNAL WEIGHT, MATERNAL RACE +
10 – 13.6 Weeks (PAPA-P & Trimester): 2-
USG REPORT +DATE OF COLLECTION+LMP
FREE B-HCG). Screen Positive 8°C (24 hrs); F
DATE) GA: 8- 12 WEEKS 3.0 ML (1.0 PHASE -I: SAME DAY, CVS
cases are offered CVS or (>24 hrs)
CHORIONIC VILLUS IN MEDIUM (MEDIUM ML) CVS : 40 KARYIOTYPING: 21 ST
Amniocentesis Chromosome Phase II (2nd
CHEMILUMINESCENCE/ WILL BE PROVIDED BY THE MG (30 MG) DAILY (MON TO DAY AMNIOTIC FLUID:
1209 1278 analysis, whereas Screen 6650 Trimester):
KARYOTYPING LAB), AMNIOTIC FLUID IN SAT): 1100 hrs 14 WORKING DAYS, PHASE -
Negative are offered second 2-8°C (48
GA: 14-19 AMNIOTIC STERILE TUBE 20.0 II: ON NEXT DAY ON
trimester Serum test. Phase II hrs); F (>48
FLUID ML RECEIPT OF THE SAMPLE
(2nd Trimester): 15-22 hrs)
CLINICAL HISTORY, CONSENT FORM WITH
Weeks. (AFP, HCG, E3UN & CVS: Ambient
PND REGISTRATION NUMBER IS
DIA). Final risk assessment Amniotic Fluid
MANDATORY. SPECIMEN TO REACH US IN
incorporates first and second
24 HRS AFTER COLLECTION
trimester results.

2-8°C (2
MEASLES IgG & IgM Enzyme Linked Immnunosorbent
1210 8771 3250 SERUM 2.0 ML (1.5 ML) DAYS); -20°C 5: 1100 HRS SAME DAY
ANTIBODIES assay
(>2 DAYS)
2-8°C (2
Enzyme Linked Immnunosorbent
1211 8776 MEASLES IgG ANTIBODIES 1750 SERUM 1.0 ML (0.5 ML) DAYS); -20°C 5: 1100 HRS SAME DAY
assay
(>2 DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (2
Enzyme Linked Immnunosorbent
1212 8781 MEASLES IgM ANTIBODIES 1750 SERUM 1.0 ML (0.5 ML) DAYS); -20°C 5: 1100 HRS SAME DAY
assay
(>2 DAYS)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1213 Z253K MELAN-A 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
MELANOMA (S- 100/HMB-
1214 Z235 4000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
45/Melan-A)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
MENOPAUSAL DIAGNOSTIC DAILY (MON TO
SERUM (Age+Gender to be 2-8°C (48 hrs);
1215 1006 PANEL (FSH, TSH, FT4, 2000 CHEMILUMINESCENCE 3.0 mL (2.0 mL) SAT): 0500, 1900 AFTER 3.0 hrs
mentioned+CLINICAL HISTORY) F (>48 hrs)
ESTRADIOL) hrs
7 SALIVA SAMPLES COLLECTED OVER A 6
DAYS PERIOD •WASH HANDS BEFORE
1216 7002 MENOPAUSE PLUS PROFILE 36000 LIA, EIA, RIA COLLECTION. • SEE INSTRUCTIONS INSIDE 5 ML (EACH TIME) F MON: 9:00 HRS 20-25 DAYS
TEST KIT FOR DETAILS.ON REQUEST KIT
WILL BE PROVIDED BY SRL,MUMBAI
DAILY: 1830 hrs
(FOR BIOCHEM
MENUPOSAL MONITORING 2-8°C (2
SPECTOPHOTOMETRY/CHEMILU SERUM :12- 14 HRS FASTING+(AGE & TESTS) & DAILY
1217 1008 PANEL (Estradiol, FSH, Lipid 2000 3.0 ML (2.0 ML) DAYS); F (>2 SAME DAY
IMINECENCE GENDER IS MANDATORY) (MON TO SAT):
Profile, Calcium, Phosphorus) DAYS)
0500, 1900 hrs FOR
HORMONES
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO PRESERVATIVE)
2-8°C (5
ALIQUOT. IN METAL FREE SCINTILLATION
1218 9138U24 MERCURY, 24 HRS URINE 3400 HGAAS 10-20 ML (5 ML) DAYS); F (>5 - "2", 11:30 HRS THIRD DAY
VIAL AVAILABLE OR STERILE URINE
30 DAYS)
CONTAINER BOTH AVAILABLE FROM SRL
(NO PRESERVATIVE)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
CONTAINER AVAILABLE FROM SRL (10-20
1219 9138U MERCURY, URINE SPOT 3400 HGAAS 10-20 ML (5 ML) DAYS); F (>5 - "2", 11:30 HRS THIRD DAY
ml) VACCUTAINER COLLECTION WILL NOT
30 DAYS)
BE ACCEPTED
MONDAY 09:00HRS
1220 9131 MERCURY,SERUM ICPMS 4600 ICPMS SERUM 2.0ML(1.0ML) R/F TO SATURDAY 7 DAYS
09:00HRS
METANEPHRINE-FREE,
SATURDAY
1221 3315P PLASMA (EDTA PLASMA, 4500 ELISA EDTA PLASMA 4.0ML(3.0ML) FROZEN 5 DAYS
09:00HRS
ELISA)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

24HRS URINE (Preservative:15 - 20ML 6N


HCL) . (The patient should not
consume,Vitamin B, COFFEE AND
BANANAS, 48hrs prior to the collection of
the specimen.It is advisable to discontinue
all medications, alpha methyldopa, MAO &
COMT Inhibitors as well as medications
related to Hypertension should be
TUESDAY : 10:00
1222 3317 METANEPHRINES 3000 ENZYME IMMUNOASSAY discontinued atleast 72 hrs prior to 20.0 ML (10.0ML) STRICTLY F NEXT DAY: 19:00 HRS
HRS
specimen collection.If medications
takenshould be STrictly on the advise of
the referring physician, the same should
be mentioned.Please freeze the specimen
immediately after collection. CLINICAL
DETAILS(Patient's clinical history, CT SCAN
, USG & MEDICATION MANDATORY)
mention 24 hrs urine volume

TISSUE IN 10%FORMALIN / PARAFIN


BLOCK + SITE OF BIOPSY AND CLINICAL
METASTASIS OF UNKNOWN
1223 Z243K 8000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
ORIGIN
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
METATASTIC TUMOUR BLOCK + SITE OF BIOPSY AND CLINICAL
1224 Z232 BREAST (ER, PgR, Her-2/neu, 5500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
GCDFP-15) IT WILL BE CHARGED FOR TISSUE
PROCESSING
A (8HRS); 2-
DAILY (MON TO
Lateral Flow Chromatography 8º C (3
1225 4149 METHADONE, URINE 1200 URINE + CLINICAL HISTORY 5.0 mL (2.0 mL) SAT): 1430, 1600 SAME DAY
Immunoassay. DAYS);F (>3
hrs
DAYS)
METHAEMOGLOBIN
1226 4202 1050 SPECTROPHOTOMETRY EDTA BLOOD 3.0 ML (2.0 ML) A DAILY: 14:30 HRS SAME DAY
ESTIMATION
MONDAY 09:00HRS
METHYLMALONIC ACID,
1227 2124 2000 QUALITATIVE URINE (RANDOM) 20.0ML (10.0 ML) R TO SATURDAY 3RD DAY
URINE
09:00HRS
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
MIB-1
1228 Z245K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN
MIC2 GENE PRODUCTS, BLOCK+ SITE OF BIOPSY AND CLINICAL
1229 Z218K EWING SARCOMA 5900 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MARKER/Also known as CD99 IT WILL BE CHARGED FOR TISSUE
PROCESSING
URINE
1230 3441UD MICROALBUMINURIA, URINE 520 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
WB-EDTA + SMEAR (MIDNIGHT 3.0 ML (2.0 ML) + 2
1231 1493 MICROFILARIA DETECTION 1000 MICROSCOPY A DAILY: 14:30 HRS SAME DAY
COLLECTION SPECIMEN PREFERRED) SMEARS
MICROSATELLITE STABILITY EDTA WHOLE BLOOD AND PARAFFIN
1232 RD1461 10000 PCR Fragment Analysis 6 ML / 1 PBF AMBIENT TUESDAY ,10AM 10 Days
INDEX(MSI ANALYSIS) BLOCK + CLINICAL HISTORY
SPECTROPHOTOMETRY, 5 PART
AUTO ANALYSER, EDTA 3ML, SERUM PURPLE+
FLOCCULATIONMETHOD, CMIA, SERUM , EDTA WB, BLACKTOP, URINE, 5ML, PLASMA RED+ GREY+
1233 9115 MINI HCP 1850 DAILY SAME DAY
CLIA,TUBE AGGLUTINATION, PLASMA FLOURIDE, FASTING 3ML, URINE URINE
DIPSTICK/ MANUAL 5ML CONTAINER
MICROSCOPY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ Site of biopsy and Clinical details
1234 Z262K MLH1 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING

TISSUE IN 10%FORMALIN / PARAFFIN


BLOCK -SITE OF BIOPSY & CLINICAL
1235 RD1447 MLH1 Hypermethylation 7100 Pyrosequencing 2ML AMBIENT 1, 10:30 15 days
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
EDTA WHOLE BLOOD / EDTA BONE
1236 RD1322 MPL Mutation Detection 6800 PCR Sequencing 5 ML (3ML) A 1,5: 0930 HRS 7 DAYS
MARROW + CLINICAL HISTORY

BCR-ABL Qualitative - 3,5,1.


BCR-ABL
JAK2 V617F = 4,6,2.
Qualitative,
CALR Gene Mut = 7
JAK2 V617F - 1,3,5.
WB-EDTA/ BONE MARROW-EDTA WORKING DAYS.
CALR - 1,5.
1237 RD1322RFX MPN Reflex Panel 15500 PCR-SEQUENCING (Specimen to reach us within 48 5 ML (3ML) A/R JAK2 EXON12 – 7
JAK2 EXON12 - 1,5.
hrs)+CLINICAL HISTORY WORKING DAYS
MPL Gene Mut -
MPL Gene Mut = 7
1,5; 9:30AM
WORKING DAYS; 6.30 PM

TISSUE IN 10%FORMALIN / PARAFFIN


BLOCK+ Site of biopsy and Clinical details
1238 Z263K MSH2 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ Site of biopsy and Clinical details
1239 Z264K MSH6 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING

BLOCKS .Please send Paraffin blocks with


complete clinical history and previous
histopath report(Mandatory) so as to
MSI IHC MARKERS - CoE
1240 9323 5700 IHC match the site of the tissue UPTO 2 AMBIENT Daily 09:00hrs 8 days
Histopathlogy
sample/Paraffin Block numbers belongs to
the same patient or not. If not received,
will be created as a problem sample.
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
MSI STUDY (MLH-1,MSH-
1241 9336 6500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
2,MSH-6,PMS-2)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
MTHFR MUTATION
1242 9802 9000 PCR Sequencing EDTA Whole Blood + CLINICAL HISTORY 5 ml (3 ml) A 1, 4: 0930 HRS 5, 2 reporting 6 PM
DETECTION
BONE MARROW - SODIUM HEPARIN +
CLINICAL HISTORY SPECIMEN TO REACH
US WITHIN 48 HRS AFTER COLLECTION.
1243 6031F Multiple Myeloma panel 13500 FISH 4 TO 5 ml ambient Daily 07:00 hrs 7 days
[Please mention the CLINICAL HISTORY,
blood picture (CBC Report) and medication
of the patient on the TRF]
2-8°C (5
MUMPS IgG & IgM Enzyme Linked Immnunosorbent DAYS); -20 TO
1244 9711 3600 SERUM 1.0 ML (0.5 ML) 5: 1100 HRS SAME DAY
ANTIBODIES assay -70°C (>5
DAYS)
2-8°C (5
Enzyme Linked Immnunosorbent DAYS); -20 TO -
1245 9716 MUMPS IgG ANTIBODIES 1800 SERUM 1.0 ML (0.5 ML) 5: 1100 HRS SAME DAY
assay 70°C (>5
DAYS)
2-8°C (5
Enzyme Linked Immnunosorbent DAYS); -20 TO -
1246 9721 MUMPS IgM ANTIBODIES 1600 SERUM 1.0 ML (0.5 ML) 5: 1100 HRS SAME DAY
assay 70°C (>5
DAYS)
MUSK ANTIBODY MONDAY :
1247 4065 9000 RADIO IMMUNOASSAY SERUM 2.0 ML ( 1.0 ML) F 4 DAYS
(SERUM,RIA) 09:00HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
HEPARIN WB / Bone Marrow + + CLINICAL
HISTORY SPECIMEN TO REACH US WITHIN
48 HRS AFTER COLLECTION. [Please
1248 6029F MYC gene 3750 FISH 4 TO 5 ml ambient Daily 07:00 hrs 5 days
mention the CLINICAL HISTORY, blood
picture (CBC Report) and medication of the
patient on the TRF]
2 BLOCKS AND 2
SLIDES.Please
provide the MONDAY 09:00HRS
MYCN Gene amplification Fluorescence in-situ
1249 4513 12000 BLOCKS histopathology A TO FRIDAY 12 DAYS
Assay Hybridization (FISH)
report and the 09:00HRS
clinical history of the
patient.
A UP TO 48
MULTIPLEX POLYMERASE CHAIN POLYMERASE CHAIN
HRS AND R
REACTION, MICROSCOPY ANY SPECIMEN OTHER THAN BLOOD IN REACTION - SAMEDAY; AFB
3.0 ML (2.0) ML / 1 >48 HRS DAILY ( MON TO
1250 2435 MYCO3PLEX 3250 FLUORESCENT STAIN/ ZIEHL STERILE CONTAINER/ TISSUE IN STERILE CULTURE - SMEAR 48
TISSUE AFTER SAT): 0800 HRS
NEELSEN STAIN & MGIT-960+LJ NORMAL SALINE (SWABS NOT ACCEPTED) HOURS,WK 3 & WK 6 (Or
SPECIMEN
CULTURE METHOD when culture positive)
COLLECTION
MULTIPLEX POLYMERASE CHAIN Culture-R /A
POLYMERASE CHAIN
REACTION, MICROSCOPY up to 48 hrs
REACTION - SAMEDAY; AFB
FLUORESCENT STAIN/ ZIEHL ANY SPECIMEN OTHER THAN BLOOD IN 3.0 ML (2.0) ML / 1 and R >48 hrs
MYCO3PLEX AD WITH FREE CULTURE - SMEAR 48
1251 2435F 3150 NEELSEN STAIN & MGIT-960+LJ STERILE CONTAINER/ TISSUE IN STERILE TISSUE, 3.0 ML (2.0) after DAILY: 0800 HRS
ADA HOURS,WK 3 & WK 6 (Or
CULTURE NORMAL SALINE (SWABS NOT ACCEPTED) ML specimen
when culture positive) ADA
METHOD/SPECTROPHOTOMETR collection F
NEXT DAY
Y for ADA
Culture R/A
MULTIPLEX POLYMERASE CHAIN ANY SPECIMEN IN STERILE CONTAINER/ up to 48 hrs POLYMERASE CHAIN
REACTION, MICROSCOPY TISSUE IN STERILE NORMAL SALINE, TISSUE 3.0 ML (2.0) ML / 1 and R >48 hrs REACTION - SAMEDAY;AFB
MYCO3PLEX AD WITH FREE
1252 2435T 3150 FLUORESCENT STAIN/ ZIEHL + SITE OF BIOPSY + CLINICAL DETAILS (FOR TISSUE FIXED IN 10% after DAILY: 0800 HRS SMEAR 48 HRS, WK 3 & WK
HISTOPATH
NIELSEN STAIN & MGIT-960+LJ BONE SPECIMENS ALSO SEND XRAY) - FORMALIN specimen 6 ,OR WHEN CULTURE
CULTURE METHOD SWABS NOT ACCEPTED collection F TURNS POSITIVE
for ADA
STERILE
1253 5320 MYCOBACTERIA DETECTION 300 MANUAL SPUTUM,PUS,FLUID 2-5 ML DAILY SAME DAY
CONTAINER
MICROSCOPY / FLUORESCENT ANY SPECIMEN EXCEPT BLOOD, BONE
1254 1122 MYCOBACTERIA DETECTION 600 3.0 ML (0.5 ML) A/R DAILY:1500 HRS SAME DAY
STAIN MARROW.SWAB NOT ACCEPTABLE
SKIN SCRAPPING/ SKIN BIOPSY/ 1.0 (0.5) ML, 1.0
1255 2401 MYCOBACTERIUM LEPRAE 4000 POLYMERASE CHAIN REACTION NASAL/SKIN SWAB / TISSUE/ (0.5) ML, 1, 0.5 (0.1) A 3:1000 HOURS 6: 1800 HRS
SLIDES/BLOCKS GM, I
2-8°C (2 days);
MYCOPLASMA PNEUMONIAE Enzyme Linked Immnunosorbent
1256 8746 2500 SERUM 1.0 ML (0.5 ML) -20°C (>2 2: 1030 HRS SAME DAY
IgG ANTIBODIES assay
days)
2-8°C (2 days);
MYCOPLASMA PNEUMONIAE Enzyme Linked Immnunosorbent
1257 8746M 2500 SERUM 1.0 ML (0.5 ML) -20°C (>2 2: 1030 HRS SAME DAY
IgM ANTIBODIES assay
days)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC /
PLEURAL / CSF FLUIDS/ TISSUE IN STERILE SAME DAY 1900HRS/ IF PB
1258 2434 MYCOREAL 2050 REAL TIME PCR NORMAL SALINE / BONE MARROW-EDTA / 3.0 ML (2.0) ML / 1 A DAILY: 0800 HRS RECD. REPORTING NEXT
PARAFFIN BLOCK (SWABS AND BLOOD DAY EVENING
SPECIMEN NOT ACCEPTED)

SPUTUM/ BAL/ URINE/ FNAC/ ASCITIC /


PLEURAL / CSF FLUIDS/ TISSUE IN STERILE SAME DAY: 1900 HRS IF PB
3.0 ML (2.0) ML / 1
1259 2439 MYCOtect 3600 REAL TIME PCR NORMAL SALINE / BONE MARROW-EDTA / A DAILY:0800 HRS THEN REPORT NEXT DAY
TISSUE + 1
PARAFFIN BLOCK (SWABS AND BLOOD EVENING
SPECIMEN NOT ACCEPTED)
AMBIENT/
1,3 TUESDAY,
1260 RD1467 Myelin basic protein 5500 ELISA CSF 2ML REFRIGERATE Sameday
09:00AM
D
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1261 Z210K MYELOPEROXIDASE (MPO) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
FRESH, UNSTAINED, AIR DRIED
MYELOPEROXIDASE (MPO) CYTOCHEMISTRY SPECIAL 4 BM SMEARS + 2 PB
1262 Z206 1000 PERIPHERAL SMEAR / BONE MARROW A DAILY:11:00 HRS 3RD DAY
STAIN STAINS SMEARS
ASPIRATE SMEARS + CLINICAL HISTORY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1263 Z246K MYO-D1 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SERUM [Samples should not be taken from
patients receiving therapy
with high biotin doses (i.e. > 5 mg/day) 2-8°C (7 days); DAILY (MON TO
1264 3612 MYOGLOBIN 2200 ELECTROCHEMILUMINESCENCE 2.0 mL (1.0 mL) SAME DAY
until at least 8 hours F (3 MONTHS) SAT):1600 hrs
following the last biotin administration]
+ Clinical History

R/F MONDAY 09:00HRS


MYOGLOBIN, URINE (URINE
1265 9273 1750 ECLIA RANDOM URINE 20.0ml(10.0ml) (STABILITY:4 TO SATURDAY 3 DAYS
SPOT, ECLIA)
DAYS) 09:00HRS
MYOTONIC DYSTROPHY TYPE EDTA WHOLE BLOOD + CLINICAL HISTORY
1266 RD1484 8000 PCR-SEQUENCING 5 ML (3 ML) A 1 : 0930 HRS 15 days
1 (DM1) in specified format
AMNIOTIC FLUID / CVS IN STERILE SALINE /
MYOTONIC DYSTROPHY TYPE
1267 RD1485 16000 PCR-SEQUENCING FETAL BLOOD EDTA+EDTA WHOLE BLOOD 5 ML (3 ML) A 1 : 0930 HRS 15 days
1 (DM1) - PNDT
FOR BOTH PARENTS + CLINICAL HISTORY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
1.0 (0.5) ML / 1
TRANSPORT
PUS /URETHRAL DISCHARGE/VAGINAL
NEISSERIA GONORRHOEAE MEDIUM (ASK FOR
1268 2414 1100 CULTURE SECRETIONS OR URETHRAL/VAGINAL A DAILY 1500 HRS 3RD DAY
CULTURE TRANSPORT
SWABS IN TRANSPORT MEDIUM
MEDIUM) SPECIFY
SAMPLE SOURCE
NEISSERIA GONORRHOEAE URETHRAL/ ENDOCERVICAL SWABS OR 2 SWABS, 5.0 ML
1269 9801 3200 POLYMERASE CHAIN REACTION A 2: 1000 HRS 3RD DAY 1800
DNA PCR URINE URINE
NEISSERIA MENINGITIDIS A, B, 2-8°C (FEW
LATEX PARTICLE
1270 9611 C, Y, W135 ANTIGEN 2800 SERUM 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
AGGLUTINATION
DETECTION (LONGER)
NEISSERIA MENINGITIDIS A, B, 2-8°C (FEW
LATEX PARTICLE
1271 9611C C, Y, W135 ANTIGEN 2800 CSF 1.0 ML (0.5 ML) HRS); -20°C DAILY:1530 HRS SAME DAY
AGGLUTINATION
DETECTION, CSF (LONGER)
DRY BLOOD SPOT with complete CLINICAL
HISTORY form including birth date & birth
NEONATAL SCREENING 2-8°C (14
1272 3320 700 Enzymatic time.(Dried Blood spot should be ideally 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
(Biotinidase) DAYS)
collected within 3rd and 5th day of life
after birth)

DRY BLOOD SPOT with complete CLINICAL


NEONATAL SCREENING HISTORY form including birth date & birth
2-8°C (14
1273 3321 (GLUCOSE-6-PHOSPHATE 450 Enzymatic time.(Dried Blood spot should be ideally 2.0 NOS (1.0 NOS) 1,4:1030 HRS NEXT DAY
DAYS)
DEHYDROGENASE) collected within 3rd and 5th day of life
after birth)

DRY BLOOD SPOT with complete CLINICAL


HISTORY form including birth date & birth
NEONATAL SCREENING 2-8°C (14
1274 3312 450 Enzymatic time.(Dried Blood spot should be ideally 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
(PHENYLALANINE) DAYS)
collected within 3rd and 5th day of life
after birth)

DRY BLOOD SPOT with complete CLINICAL


HISTORY form including birth date & birth
NEONATAL SCREENING 2-8°C (14
1275 3309 450 Enzymatic time.(Dried Blood spot should be ideally 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
(TOTAL GALACTOSE) DAYS)
collected within 3rd and 5th day of life
after birth)

DRY BLOOD SPOT with complete CLINICAL


HISTORY form including birth date & birth
2-8°C (14
1276 3308 NEONATAL SCREENING (TSH) 450 Enzyme Immunoassay time.(Dried Blood spot should be ideally 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
DAYS)
collected within 3rd and 5th day of life
after birth)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TEST FOR MORE THAN ONE MONTH OLD
BABY A. GENERAL INFORMATION
COLLECTION TIME:
COLLECT SAMPLE 24 HOURS AFTER BIRTH
UP TO 14 YEARS OF AGE.
SPECIMEN AND VOLUME:
4 - 5 WHOLE BLOOD SPOTS ON WHATMAN
903® FILTER PAPER; FILL ALL CIRCLES WITH
BLOOD. DO NOT LAYER

CONTAINER: WHATMAN 903® FILTER


PAPER
NEONATAL SCREENING PANEL
(All 42 Parameters) FOR STORAGE AND SHIPPING TEMPERATURE: 5 DRY BLOOD MONDAY TO
1277 3358A 4900 Tandem Mass Spectrometry A/R 4 DAYS
MORE THAN 1MONTH OLD ALLOW BLOOD TO DRY 3 - 4 HRS BEFORE SPOTS(2 SPOTS) FRIDAY 09:00HRS
UPTO 14 YEARS PACKING. STORE THE SAMPLE IN A
ZIPLOCK© OR EQUIVALENT BAG AT ROOM
TEMPERATURE OR 2¿ - 8¿ C. SHIP THE
SAMPLE IN THE ZIPLOCK OR EQUIVALENT
AT ROOM TEMPERATURE OR 2¿ - 8¿ C.

B. SAMPLE ACCEPTABILITY
SPECIAL INSTRUCTIONS:
1. BLOOD COLLECTION BY HEEL-STICK
DIRECTLY ONTO FILTER PAPER UPTO 18
MONTHS AFTER BIRTH
2. BLOOD COLLECTION BY FINGER-STICK
DIRECTLY ONTO FILTER PAPER AFTER 18
NEONATAL SCREENING PANEL-
1 (Immunoreactive
Trypsinogen, TSH, Total DRY BLOOD SPOT with complete CLINICAL
Galactose, 17-Alpha- HISTORY form including birth date & birth
2-8°C (14
1278 3328IA Hydroxyprogesterone, 3250 ENZYME IMMUNOASSAY time.(Dried Blood spot should be ideally 5NOS (4 NOS) 1,4:1030 HRS NEXT DAY
DAYS)
Phenylalanine, Biotinidase, collected within 3rd and 5th day of life
Glucose-6-Phosphate after birth)
Dehydrogenase, Maple Syrup
Urine Disease

NEONATAL SCREENING PANEL-


DRY BLOOD SPOT with complete CLINICAL
2 (Immunoreactive
HISTORY form including birth date & birth
Trypsinogen, TSH, 17-Alpha- 2-8°C (14
1279 3328IB 1800 ENZYME IMMUNOASSAY time.(Dried Blood spot should be ideally 5NOS (4 NOS) 1,4:1030 HRS NEXT DAY
HydroxyprogeSTerone, DAYS)
collected within 3rd and 5th day of life
Phenylalanine, Glucose-6-
after birth)
Phosphate Dehydrogenase
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DRY BLOOD SPOT with complete CLINICAL
HISTORY form including birth date & birth
NEONATAL SCREENING PANEL- 2-8°C (14
1280 3328IC 700 ENZYME IMMUNOASSAY time.(Dried Blood spot should be ideally 2.0 NOs (1.0 NOs) 1,4:1030 HRS NEXT DAY
3 (TSH, Phenylalanine) DAYS)
collected within 3rd and 5th day of life
after birth)

DRY BLOOD SPOT with complete CLINICAL


HISTORY form including birth date & birth
NEONATAL SCREENING PANEL- 2-8°C (14
1281 3328ID 1000 ENZYME IMMUNOASSAY time.(Dried Blood spot should be ideally 3 NOS (2 NOS) 1,4:1030 HRS NEXT DAY
4 (G6PD, TSH, Phenylalanine) DAYS)
collected within 3rd and 5th day of life
after birth)
TISSUE IN 10%FORMALIN / PARAFIN
NEUROENDOCRINE (NSE,
BLOCK + SITE OF BIOPSY AND CLINICAL
Chromogranin-A,
1282 Z236 6000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
Synaptophysin, CD56,
IT WILL BE CHARGED FOR TISSUE
Pancytokeratin, Ki-67, S-100p)
PROCESSING
Neuromuscular Disorders
1283 RD1463 6500 PCR Sequencing EDTA WHOLE BLOOD + CLINICAL HISTORY 5ML AMBIENT 3, 10:00AM 10 days
mtDNA mutation Panel
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1284 Z048K NEURON SPECIFIC ENOLASE 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
DRY BLOOD SPOT with complete CLINICAL
NEW NEONATAL SCREENING
HISTORY form including birth date & birth
PANEL(TSH,Phenylalanine & 2-8°C (14
1285 3328IN 1000 ENZYME IMMUNOASSAY time.(Dried Blood spot should be ideally 3 NOs (2 NOs) 1,4:1030 HRS NEXT DAY
17-Alpha- days)
collected within 3rd and 5th day of life
Hydroxyprogesterone)
after birth)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
A. General Information
Collection Time: Collect sample 24 hours
AFTER birth up to 1 month of age. (DAY 2-
7 REPORTED WITHOUT DISCLAIMER , DAY
8 TO 1 MONTH WITH DISCLAIMER
COMMENT)
REQUIRE FOLLOWING MADATORY
DETAILS: Storage and
Birth date and time, Sample collection Shipping
date and time, Age at the time of Temperature:
collection (more than 24 hours), Specimen and Allow blood to
Transfusion details if any with date and Volume: 4 - 5 whole dry 3 - 4 hrs
NEWBORN SCREENING FOR time, IV fluid infusion if any with date and blood spots on before
time, Feed details (Breast/Bottle/Both TUESDAY AND
1286 3358 ACYLCARNITINE & AMINO 4500 LCMSMS Whatman 903® filter packing. 4TH DAY 6:00PM
Breast and Bottle feed), Status at the time FRIDAY 10:00HRS
ACIDS, Dried Blood spot paper; Fill all circles Store/Ship the
of collection (Normal/Premature/Sick), with blood. Do NOT sample in a
Gestational age, Birth weight details, Layer ZipLock© or
Medication if any.Single baby or Twin baby equivalent
(please specify),Ethnicity bag at 2° - 8°
(White/Hispanic/Asian/Am.Indian/Af.Amer C.
/Others),Doctors Name and Contact
details + Clinical history of the patient.
B. Sample Acceptability: Special
Instructions:
1. Venous blood from a central line is
acceptable (Do NOT apply blood to filter
paper through a needle as hemolysed
samplesBLOOD
EDTA WHOLE are not+acceptable).
CLINICAL HISTORY
1287 RD1480 NF1 GENE MUTATION 65000 PCR-SEQUENCING 5 ML (3 ML) A 2 : 0930 HRS 21 days
in specified format
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
1288 9150U NICKEL URINE SPOT 3600 10-20 ML (5 ML) DAYS); F (>5 - “2” , 11:30 HRS THIRD DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL NOT
30 DAYS)
BE ACCEPTED
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO PRESERVATIVE).
24 HRS VOLUME SHOULD BE
COMPULSARILY SPECIFIED . FIRST SHAKE
THE CAN AND TAKE THE 10-20 ML 2-8°C (5
GFAAS WITH ZEEMAN
1289 9150U24 NICKEL, 24 HRS URINE 3600 ALIQUOT IN METAL FREE SCINTILLATION 10-20 ML (5 ML) DAYS); F (>5 - “2”, 11:30 HRS THIRD DAY
CORRECTION
VIAL AVAILABLE OR STERILE URINE 30 DAYS)
CONTAINER BOTH AVAILABLE FROM SRL
(NO PRESERVATIVE) THE MEASUREMENT
OF URINE VOLUME SHOULD BE DONE
AFTER ALIQUOTING.
NICKEL, SERUM BY ICPMS
1290 9132 4500 ICPMS SERUM 3.0ML(2.0ML) R MONDAY 09:00HRS 4 DAYS
(SERUM)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
FLOW CHROMATOGRAPHIC 2-8°C (48 hrs);
1291 8828 NICOTINE METABOLITE 1800 URINE 5.0 mL (2 mL) SAT): 1430, 1600 SAME DAY
IMMUNOASSAY F (>48 hrs)
hrs
NICOTINE METABOLITE, MONDAY TO
1292 9255 16500 EIA SERUM 3.0ML(2.0ML) R/F 3 DAYS
SERUM FRIDAY09:00HRS
1293 RD1458 NOCARDIA SPECIATION 6500 DNA SEQUENCING Pure Culture Isolate 1 A 3: 10:30 HRS 5; 18.00 HRS
TISSUE IN 10%FORMALIN / PARAFIN
NON HODGKIN LYMPHOMA BLOCK + SITE OF BIOPSY AND CLINICAL
1294 Z222 IMMUNOPHENOTYPING 5500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
(CD20, CD3, CD43) IT WILL BE CHARGED FOR TISSUE
PROCESSING
NON-GYNAEC CYTOLOGY &
1295 1515 FINE NEEDLE ASPIRATION 1050 CYTOLOGY SMEARS/SLIDES PREPARED SMEARS SMEARS DAILY NEXT DAY
CYTOLOGY (FNAC)

NON-GYNAEC CYTOLOGY &


1296 1515P FINE NEEDLE ASPIRATION 1400 CYTOLOGY SMEARS/SLIDES PREPARED SMEARS SMEARS DAILY NEXT DAY
CYTOLOGY (FNAC), PHOTO

THE BLOOD SAMPLE (EDTA)SHOULD BE


STORED AT 2-8 DEGREE CELCIUS UNTIL
CENTRIFUGED TO SEPARATE THE PLASMA
WITHIN 2HOURS AFTER BLOOD
COLLECTION.DO NOT CONSUME VITAMIN
B ,COFFEE, BANANAS, ALPHA -
METHYDOPA,MOA AND COMT F FROZEN WEDNESDAY :
1297 9953P NORADRENALIN, PLASMA 3300 ENZYME IMMUNOASSAY 2.0 ML (1.0 ML) NEXT DAY
INHIBITORSAS WELL AS MEDICATION STRICTLY 1000HRS
RELATED TO HYPERTENSION FOR AT LEAST
72 HRS PRIOR TO THE COLLECTION OF THE
SPECIMEN.MENTION CLINICAL
DETAILS(PATIENT CLINICAL HISTORY, CT
SCAN,USG & MEDICATION) OF THE
PATIENT ON THE REQ FORM..
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

24HRS URINE (Preservative:15 - 20ML 6N


HCL) . (The patient should not consume
Vitamin B, COFFEE AND BANANAS,48hrs
prior to the collection of the specimen.It is
advisable to discontinue all medications,
alpha methyldopa, MAO & COMT
Inhibitors as well as medications related to
Hypertension should be discontinued
F FROZEN WEDNESDAY :
1298 9953U NORADRENALIN, URINE 3600 ENZYME IMMUNOASSAY atleast 72 hrs prior to specimen 10.0 ML NEXT DAY
STRICTLY 1000HRS
collection.If medications takenshould be
STrictly on the advise of the referring
physician, the same should be
mentioned.Please freeze the specimen
immediately after collection. CLINICAL
DETAILS(Patient's clinical history, CT SCAN
, USG & MEDICATION MANDATORY)
mention 24 hrs urine volume

EDTA WHOLE BLOOD + CLINICAL


1299 7579 NPM1 MUTATION DETECTION 3700 PCR - SEQUENCING 5 ML (3ML) A 5: 0930 HRS 7 DAYS
HISTORY/EDTA BONE MARRAOW
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL 0.5 CM X 0.5 CM X Monday, Thursday:
1300 RD1316 NRAS exon 1 and 2 Mutation 5900 NESTED PCR – Sequencing A 5th working days
DETAILS MANDATORY IF TISSUE RECD. 0.5 CM 9.30 hrs
TISSUE PROCESSING WILL BE CHARGED

SERUM (Centrifuge blood within 1 hour)


[Samples should not be taken from
patients receiving therapy 2-8°C (24
NSE (NEURON SPECIFIC
1301 1702 3600 ELECTROCHEMILUMINESCENCE with high biotin doses (i.e. > 5 mg/day) 2.0 ML (1.0 ML) HRS); F (3 2:1600hrs SAME DAY
ENOLASE)
until at least 8 hours MONTHS)
following the last biotin administration]
+ Clinical History

SERUM [Samples should not be taken from


patients receiving therapy
NT-PRO BNP (N-TERMINAL 2-8°C (6
with high biotin doses (i.e. > 5 mg/day) DAILY (MON TO
1302 2121 PRO B TYPE NATRIURETIC 2550 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) DAYS); F (3 SAME DAY
until at least 8 hours SAT):1600 hrs
PEPTIDE) MONTHS)
following the last biotin administration]
+ Clinical History
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
URINE IN 4 TUBES (BLUE TOP-1, CREAM
TOP-1, CLEAR TOP-2)
+SERUM
+SODIUM HEPARIN PANEL
+RBC IN NA-HEPARIN TUBE
+EDTA WHOLE BLOOD – 2 TUBES. BEFORE
TAKING THIS TEST:DISCONTINUE NON-
ESSENTIAL MEDICATIONS (4 DAYS BEFORE
EIA, HPLC, Kinetic (Jaffe), GC-MS,
TEST) 10.0 ML+2.0 ML+2.0
NutriEVAL (KIT BASED TEST Enzymatic, LC-MS-MS,
1303 7003 65000 • REFER TO CLINICIAN INSTRUCTIONS ML+1.0 ML+3.0 ML F,F,F,R,R MON 09:00HRS 20-25 DAYS
ONLY) Colorimetric, TBARS, ICP-MS,
ABOUT WHAT OTHER MEDICATIONS AND EACH
Chemiluminescent
SUPPLEMENTS TO AVOID (4 DAYS BEFORE
TEST)
• PATIENTS MUST FAST OVERNIGHT PRIOR
TO BLOOD DRAW
• ARRANGE SHIPPING FOR MONDAY-
THURSDAY
• SEE INSTRUCTION.ON PRIOR REQUEST,
KIT IS PROVIDED BY SRL,MUMBAI

TISSUE IN 10%FORMALIN / PARAFFIN


O6-methylguanine
BLOCK -SITE OF BIOPSY & CLINICAL
1304 RD1469 methyltransferase (MGMT) 6500 Pyrosequencing 1 AMBIENT WEDNESDAY,10AM 10days
DETAILS MANDATORY IF TISSUE RECD.
promoter
TISSUE PROCESSING WILL BE CHARGED

OBEY-CT PANEL I (Glucose F & SERUM 2-8°C


Glucose PP, T3, T4 & TSH, (<48 HRS); F
SERUM 5.0 ML (3.0
Triglycerides, Cholesterol, (> 48 HRS); Daily:1830 hrs (FOR
ML) + 1.0 ML (0.5
HDL Cholesterol, LDL FLUORIDE BIOCHEM
SPECTROPHOTOMETRY, SERUM (12-14HRS FASTING), FLUORIDE ML) EACH FASTING
Cholesterol, VLDL Cholesterol, PLASMA : 2- TESTS),DAILY (MON
DIPSTICK & MICROSCOPY/CELL PLASMA - FASTING & PP, FASTING URINE, & PP FLUORIDE
1305 DT8101 Cholesterol to HDL Ratio, LDL 3500 8°C (3 DAYS); TO SAT): 0500, SAME DAY
COUNTER/CHEMILUMINESCENC EDTA, MICRO SLIDE + (AGE & GENDER IS PLASMA 1.5 ML (1.0
to HDL Cholesterol Ratio, SERUM : 2-8°C 1900 hrs FOR T3,
E/IMT MANDATORY) ML) + URINE 15.0 ML
Creatinine, Total Protein, (2 DAYS), F (> T4, TSH
(10.0 ML) + 3.0 ML
Electrolytes, Calcium, 2 DAYS);
(2.0 ML) + 2
Phosphorus & Urine Analysis, URINE :2-
Uric acid 8°C(24 HRS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

OBEY-CT PANEL II (Glucose F SERUM 2-8°C


& Glucose PP , T3, T4 & TSH, (<48 HRS); F
Daily:1830 hrs (FOR
Cortisol, Triglycerides, (> 48 HRS);
SERUM 5.0 ML (3.0 BIOCHEM
Cholesterol, HDL Cholesterol, FLUORIDE
SERUM (12-14HRS FASTING), FLUORIDE ML) + EACH FASTING TESTS),DAILY (MON
LDL Cholesterol, VLDL SPECTROPHOTOMETRY, PLASMA : 2-
PLASMA - FASTING & PP, FASTING URINE , & PP FLUORIDE TO SAT): 0500,
1306 DT8102 Cholesterol, Cholesterol to 4100 DIPSTICK & MICROSCOPY 8°C (3 DAYS); SAME DAY
EDTA, MICRO SLIDE + (AGE & GENDER IS PLASMA 1.5 ML (1.0 1900 hrs FOR T3,
HDL Ratio, LDL to HDL /CHEMILUMINESCENCE/IMT SERUM : 2-8°C
MANDATORY) ML) + URINE 15.0 ML T4, TSH &
Cholesterol Ratio, Creatinine, (2 DAYS), F (>
(10.0 ML) + + 1.0 ML CORTISOL.
Total Protein, Electrolytes, 2 DAYS);
Calcium, Uric Acid, URINE : 2-
Phosphorus & Urine AnalysiS 8°C(24 HRS)

CSF & SERUM SAMPLE MUST BE


2 - 8 °C(1
ISOELECTRIC FOCUSING WITH COLLECTED SIMULTANEOUSLY ON SAME
1307 1316 OLIGOCLONAL BANDS, CSF 5000 2.5 ML + 2.0 ML WEEK), F(1 4 :1100 HRS 6TH DAY
IMMUNOFIXATION DAY AND SAME TIME (FOR PARALLEL
MONTH)
TESTING) + CLINICAL HISTORY

BY PRIOR
OPERATION THEATRE APPOINTMENT ON
MICROBIOLOGICAL 2 AIR SAMPLE + 10 LOCATION & Aerobic culture: 3RD DAY,
1308 LC001 4750 AEROBIC+ANAEROBIC CULTURE AIR SAMPLES + SWABS. R
SURVEILLANCE (10 SWABS+2 SWABS EXPOSURE TIME OF Anaerobic culture: 5th Day
AIR SAMPLES) CULTURE PLATES
REQUIRED

BY PRIOR
OPERATION THEATRE APPOINTMENT ON
MICROBIOLOGICAL 2 AIR SAMPLE + 5 LOCATION & Aerobic culture: 3RD DAY,
1309 LC002 2700 AEROBIC+ANAEROBIC CULTURE AIR SAMPLES + SWABS. R
SURVEILLANCE (5 SWABS+2 SWABS EXPOSURE TIME OF Anaerobic culture: 5th Day
AIR SAMPLES) CULTURE PLATES
REQUIRED

BY PRIOR
OPERATION THEATRE
APPOINTMENT ON
MICROBIOLOGICAL
2 AIR SAMPLE + 10 LOCATION &
1310 LC001A SURVEILLANCE- 10 (AEROBIC 4750 AEROBIC CULTURE AIR SAMPLES + SWABS. R 3RD DAY
SWABS EXPOSURE TIME OF
CULTURE ONLY- 10 SWABS+2
CULTURE PLATES
AIR SAMPLES)
REQUIRED

BY PRIOR
OPERATION THEATRE
APPOINTMENT ON
MICROBIOLOGICAL
2 AIR SAMPLE + 5 LOCATION &
1311 LC002A SURVEILLANCE-5 (AEROBIC 2700 AEROBIC CULTURE AIR SAMPLES + SWABS R 3RD DAY
SWABS EXPOSURE TIME OF
CULTURE ONLY- 5 SWABS+ 2
CULTURE PLATES
AIR SAMPLES)
REQUIRED
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
Gas Chromatography/Mass RANDOM URINE+ CLINICAL DETAILS AND
MONDAY - FRIDAY
1312 3966 ORGANIC ACID SCREEN,URINE 6600 spectrometry (GC/MS)-semi MEDICATION TO BE PROVIDED ALONG 20ML (10ML) F 10TH DAY
09:00HRS
quantitative analysis. WITH THE SPECIMEN.
URINE 24 HRS WITHOUT PRESERVATIVE &
REFRIGERATE DURING COLLECTION) (
1313 3231U24 OSMOLALITY, 24 hrs URINE 1150 FREEZING POINT DEPRESSION 5.0 ML (2.0 ML) 2-8°C (7 DAYS) 1,3,5 : 1530 hrs SAME DAY
PATIENT AGE, GENDER AND CLINICAL
HISTORY DETAILS.)
SERUM ( PATIENT AGE, GENDER AND
1314 3231 OSMOLALITY, SERUM 1000 FREEZING POINT DEPRESSION 1.0 (0.5) ML 2-8°C (7 DAYS) 1,3,5 : 1530 hrs SAME DAY
CLINICAL HISTORY DETAILS.)
1315 3231U OSMOLALITY,URINE 950 FREEZING POINT DEPRESSION RANDOM URINE WITHOUT PRESERVATIVE 5.0 ML (2.0 ML) 2-8°C (7 DAYS) 1,3,5 : 1530 hrs SAME DAY
OSMOTIC FRAGILITY TEST,
1316 5113 1000 MANUAL EDTA WHOLE BLOOD 3 ML PURPLE DAILY NEXT DAY
BLOOD
SERUM [Samples should not be taken from
patients receiving therapy
2-8°C
with high biotin doses (i.e. > 5 mg/day)
1317 3550 OSTEOCALCIN (N MID) 3500 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) (3DAYS); 2,5:1600 hrs SAME DAY
until at least 8 hours
F (3 MONTHS)
following the last biotin administration]
+ Clinical History

SERUM [Samples should not be taken from


patients receiving therapy with high biotin
OSTEOMON (BETA FROZEN: UP DAILY (MON TO
1318 1060 3000 ELECTROCHEMILUMINESCENCE doses (i.e. > 5 mg/day) until at least 8 2.0 ML (1.0 ML) SAME DAY
CROSSLAPS & TOTAL P1NP) TO 3 MONTHS SAT):1600 hrs
hours following the last biotin
administration]+ Clinical History
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
OSTEONECTIN
1319 Z0150K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:1100 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SERUM [Samples should not be taken from
2-8°C
patients receiving therapy with high biotin
OSTEOPOROSIS MONITORING (5DAYS); F (> DAILY (MON TO
1320 1059 2000 ELECTROCHEMILUMINESCENCE doses (i.e. > 5 mg/day) until at least 8 2.0 ML (1.0 ML) SAME DAY
(TOTAL P1NP) 5DAYS- 6 SAT):1600 hrs
hours following the last biotin
MONTH)
administration] + Clinical History

OSTEOSCREEN PANEL - I Calcium,


SERUM 2-8°C
(Calcium, Phosphorous, Phosphorous
1.0 mL (0.5 mL), 1.0 (2 DAYS); F
Vitamin D (25 Hydroxy), PTH CHEMILUMINESCENCE / SERUM (R) + 2 SERUM (F) + EDTA Plasma Daily:1830 hrs,
1321 1017 3200 mL (0.1 mL) + 2.0 mL (>2 DAYS) + SAME DAY
Intact) SPECTROPHOTOMETRY (F) Vit D & iPTH:
(1.0 mL) EDTA Plasma
Daily (Mon to Sat):
Frozen
0500, 1600 hrs.
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
Calcium,
Phosphorous and
SERUM (R) + 2 SERUM (F) + EDTA Plasma Alkaline
OSTEOSCREEN PANEL - II
(F) ,SERUM [Samples should not be taken SERUM 2-8°C Phosphatase DAILY
(Calcium, Phosphorous,
from patients receiving therapy 1.0 mL (0.5 mL), 1.0 (2 DAYS); F (MON TO
Vitamin D (25 Hydroxy), PTH CHEMILUMINESCENCE /
1322 1018 5500 with high biotin doses (i.e. > 5 mg/day) mL (0.1 mL) + 2.0 mL (>2 DAYS) + SAT):18:30 HRS, SAME DAY
Intact, Osteocalcin, Alkaline SPECTROPHOTOMETRY
until at least 8 hours (1.0 mL) EDTA Plasma Vit D & iPTH:
Phosphatase)
following the last biotin administration] Frozen Daily (Mon to Sat):
+ Clinical History 0500 to 1600 hrs.
Osteocalcin: 2, 5
1600 hrs.
OVA & PARASITE: COCCIDIA
1323 2363 750 STAINING: MICROSCOPY STOOL IN LEAK PROOF CONTAINER 10.0 (1.0) G / 1.0 ML 2-8°C (48 HRS) DAILY: 1530 HRS NEXT DAY
EVALUATION
OVA & PARASITE:
COMPREHENSIVE CONCENTRATION;
1324 2362S 700 STOOL IN LEAK PROOF CONTAINER 10.0 (1.0) G / 1.0 ML R DAILY: 1530 HRS NEXT DAY
EXAMINATION WITH MICROSCOPY; STAINING
COCCIDIA EVALUATION
CHEMILUMINESCENT 2-8°C (4
OVARIAN MALIGNANCY RISK SERUM (Note:LMP or Pre or Post
1325 7194 2900 MICROPARTICLE IMMUNOASSAY 2.0 ML (1.0 ML) DAYS); -20°C Thrus:1530 pm Same day
ALGORITHM (ROMA) Menopausal status Mandatory required)
(CMIA) (>4 DAYS)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1326 Z008K p53 (MUTANT WILD TYPE) 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1327 Z255K p63 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
PAN NEUROTROPIC VIRUS
Same day 7.00 pm For
PANEL ( GOLD STANDARD IN
1328 RD1462 6500 Multiplex PCR CSF + CLINICAL HISTORY 3ml Frozen DAILY 11:00 AM Negative & positive next
DIAGNOSING ASEPTIC
day 11 AM
MENINGITIS & ENCEPHALITIS

DAILY (MON TO
PANCREATIC CANCER 2-8°C (48 hrs);
1329 3024 3000 CHEMILUMINESCENCE SERUM 2.0 ML (1.0 ML) SAT): SAME DAY
MONITOR (CA 19-9, CEA) F (>48 hrs)
0500,1430,1600 hrs

AMBIENT-5
Enzyme Linked Immnunosorbent DAYS, 2-8°C (7 2nd and 4th
1330 3884 Pancreatic Elastase Test 10000 STOOL 1.0 GM Same day(1900 hrs)
assay DAYS); -20°C Monday:10.00 am
(>7 DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK (SITE OF BIOPSY & CLINICAL
1331 Z055K PAN-CYTOKERATIN 2750 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
DETAILS MANDATORY) IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
3.0 ML + 5.0 ML (1.0
ML) + 2.0 ML (1.0
PANFUNGAL DETECTION & SPUTUM / CSF / FLUIDS / TISSUES +
1332 9602 13000 PCR SEquencing ML) + 2.0 ML (1.0 A 1,4: 0930 HRS 3,6 : 1800 HRS
IDENTIFICATION PANEL CLINICAL HISTORY
ML) + 1.0 GM (0.5
GM)
3.0 ML + 5.0 ML (1.0
ML) + 2.0 ML (1.0
SPUTUM / CSF / FLUIDS / TISSUES +
1333 9603 PANFUNGAL DNA DETECTOR 3500 PCR SEquencing ML) + 2.0 ML (1.0 A 1,4: 0930 HRS 3,6 : 1800 HRS
CLINICAL HISTORY
ML) + 1.0 GM (0.5
GM)
Hybrid capture Only
Diagen DNA Hybrid Capture and Wednesday at 8:00 Hybrid capture same day
1334 1479 PAP DUO + HYBRID 3500 LBC 10ML A
CYTOLOGY am and LBC daily and LBC next day
10:00am
PAP DUO-THINPREP / SPECIMEN FIXED IN THINPREP / SUREPATH DAIILY:1530 (LBC) &
CYTOLOGY/ POLYMERASE CHAIN NEXT DAY
1335 1822 SUREPATH CYTOLOGY+ 2850 PRESERVATIVE SOLUTION + CLINICAL 1 VIAL 15 – 30 ºC 2,4: 1000 HRS (HPV-
REACTION (FOR PAP)
HPV-PCR HISTORY, AGE, LMP PCR)
SMEARS -4 (2 FIXED
FOR PAP + 2 AIR
DRIED FOR HPV)

+
FIXED UNSTAINED SMEARS (FOR PAP)
DAIILY:1530 (PAP
AND NEXT DAY FOR PAP SMEAR
PAP SMEAR REFLEX TO HPV CYTOLOGY/ POLYMERASE CHAIN GENITAL SWABS – 2 SMEAR) & 2,4,6:
1336 9216RFX 1400 GENITAL SWABS / CERVICAL SCRAPINGS A & 3,5,1 : 1900 hrs FOR HPV
DETECTION(DNA DETECTOR) REACTION SWABS OR 1000 HRS (HPV-
ON SLIDES DNA DETECTOR
FORMALIN FIXED PCR)
+ CLINICAL HISTORY & AGE & SEX
TISSUE/PARRAFIN
BLOCK-1 OR
ENDOCERVICAL
SCRAPPINGS/
SWABS

1337 1272 PAP STAIN 700 MANUAL SMEAR/SLIDES PREPARED SMEARS SLIDES DAILY NEXT DAY
1338 1272P PAP STAIN [PHOTO] 720 CYTOLOGY SLIDES SLIDES SLIDES DAILY NEXT DAY
PAPANICOLAOU SMEAR,
1339 1273 700 MANUAL SMEAR/SLIDES PREPARED SMEARS SLIDES DAILY NEXT DAY
PROCEDURE
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
1] Require SERUM sample.Mention time of
drug dose.
REFRIGERATE
1340 1564I PARACETAMOL 1200 COLORIMETRY 2] Require Doctors Name and Contact 2.0 ML Friday 10:00 HRS NEXT DAY 18:00HRS
D
details + Clinical history of the patient is
mandatory.
PARANEOPLASTIC DISORDER
2-8°C (14
PROFILE ( HUABS, YOABS, RI SERUM OR EDTA/HEPARIN/CITRATED
1341 3861 6000 IMMUNOBLOT 1.0 ML(0.5 ML) days); -20°C TUESDAY: 1000 AM SAME DAY :1900 HRS
ABS, PNMA2 ABS, PLASMA (CLINICAL HISTORY MANDATORY)
(>14 days)
AMPHIPHYSIN ABS)

0.5 ML (0.1 ML), 0.5 R-WB/BONE


EDTA-PLASMA / WB-EDTA / BONE
1342 3305 PARVOVIRUS B19 DNA PCR 2850 POLYMERASE CHAIN REACTION ML (0.1 ML), 0.5 ML MARROW, F- 2:1000 HRS 5: 1800 HRS
MARROW EDTA
(0.1 ML) EDTA PLASMA
2-8°C (5
Enzyme Linked Immnunosorbent
1343 2067I PARVOVIRUS B19 IgG 3100 SERUM 1.0 ML (0.2 ML) DAYS); -20°C 2: 1030 HRS SAME DAY
assay
(>5 DAYS)
2-8°C (5
Enzyme Linked Immnunosorbent
1344 2068I PARVOVIRUS B19 IgM 3100 SERUM 1.0 ML (0.2 ML) DAYS); -20°C 2: 1030 HRS SAME DAY
assay
(>5 DAYS)
DAILY:0930 HRS
1345 RD1424 PATERNITY TESTING DUO 28000 STR Analysis EDTA WHOLE BLOOD + BUCCAL SWAB 3.0 ML + 2 SWABS AMBIENT (EXCEPT SUNDAY 10 DAYS
AND HOLIDAYS)
DAILY:0930 HRS
1346 RD1425 PATERNITY TESTING TRIO 32000 STR Analysis EDTA WHOLE BLOOD + BUCCAL SWAB 3.0 ML + 2 SWABS AMBIENT (EXCEPT SUNDAY 10 DAYS
AND HOLIDAYS)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
1347 Z267K PAX-5{} 2700 IMMUNO HISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3RD DAY
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED

SERUM: 2-8°C
(24 hrs); F (
PCOD Panel (LH, FSH,
FASTING SERUM + PLASMA FLOURIDE+ 2.0 ML (1.0 ML)+5.0 >24 hrs) F; DAILY(MON - SAT):
Prolactin, Testosterone (Total SPECTOPHOTOMETRY/RADIOIM
URINE AND POST PRANDIAL SERUM ML (2.0ML)+2.0 ML FLUORIDE 1230 hrs, DAILY :
1348 1011 & Free), Insulin (Fasting & PP) 4250 MUNOASSAY/CHEMILUMINECE SAME DAY
+PLASMA FLOURIDE+ URINE (AGE & (1.0 ML)+5.0 ML PLASMA : 2- 1830 hrs FOR
Fasting & PP Sugar) NCE/ DIPSTICK
GENDER IS MANDATORY) (2.0ML) 8°C (3 DAYS); GLUCOSE F & PP
URINE : 2-
8°C(24 HRS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (48
SERUM ( AGE+GENDER+LMP+CLINICAL
HRS); F (>48 DAILY (MON TO
PCOS TOTAL (LH, FSH, HISTORY REQUIRED ) **DRAW SAMPLE
HRS) SAT): 0500 hrs to
Prolactin, Testosterone (Free), CHEMILUMINESCENCE/ RADIO BETWEEN 8 AM TO 10AM, 3-4 HRS AFTER
5.0 (2.5) ML + 2ML +FLUORIDE 1900 hrs & DAILY SAME DAY,HOMA NEXT
1349 4639 HOMA IR, DHEAS, TSH, Direct 4250 IMMUNOASSAY/ THE PATIENT HAS AWAKENED.**+FASTING
(1.0ML) PLASMA 2-8°C (MON - SAT): 1230 DAY
LDL Cholesterol, Cholesterol SPECTROPHOTOMETRY FLUORIDE PLASMA WITH 12-14 HRS
(3 DAYS) AND HRS FOR FREE
Total, Triglycerides FASTING SERUM (AGE & GENDER OF THE
SERUM TESTOSTERONE
PATIENT IS MANDATORY FOR REPORTING)
FROZEN ONLY

PDGFR PLUS (FIP1L1-PDGFRA


GENE REARRANGEMENT AND
1350 4806 9250 Nested RT-PCR EDTA WB / BONE MARROW EDTA 2.0 ML /1.0 ML A Tuesday, 10:30 AM 7 days
TEL-PDGR BETA T(5;12)
TRANSLOCATION)
SPECTROPHOTOMETRY/ STERILE
1351 5192 PERICARDIAL FLUID ANALYSIS 700 FLUID 5 ML DAILY SAME DAY
MICROSCOPY CONTAINER
PERIODIC ACID SCHIFF (PAS) CYTOCHEMISTRY SPECIAL BONE MARROW SMEAR + PERIPHERIAL 4 BM SMEARS + 2 PB
1352 Z204 1000 A DAILY:15:30 HRS 3RD DAY
STAIN STAINS SMEAR + CLINICAL HISTORY SMEARS
PERIPHERAL SMEAR EXAM, MANUAL MICROSCOPY,5 PART EDTA
1353 5162 200 EDTA WHOLE BLOOD , SMEARS 3 ML DAILY SAME DAY
EDTA WHOLE BLOOD AUTO ANALYSER ,SMEARS
SPECTROPHOTOMETRY/ STERILE
1354 5193 PERITONEAL FLUID, ROUTINE 600 PERITONEAL FLUID 1 ML DAILY SAME DAY
MICROSCOPY CONTAINER
SERUM / PLASMA - EDTA , RESULTS FROM
SPECIMEN COLLECTED 2 TO 4 HRS AFTER 2-8°C (48 hrs); 2,4:
1355 1560 PHENOBARBITAL 1000 CHEMILUMINESCENCE 1.0 ML (0.5 ML) SAME DAY
DOSE CAN BE MISLEADING. (TREATMENT F (>48 hrs) 0500,1430,1600 hrs
HISTORY REQUIRED)

SERUM / Plasma - EDTA OR HEPARINIZED, DAILY (MON TO


2-8°C (48 hrs);
1356 4103 PHENYTOIN (Eptoin,Dilantin) 1000 CHEMILUMINESCENCE Specimen to be collected 4 - 5 hrs after 1.0 ML (0.5 ML) SAT): SAME DAY
F (>48 hrs)
dose. (Treatment history Required) 0500,1430,1600 hrs
PHILADELPHIA BONE MARROW-EDTA/ WB- EDTA
1357 5350 CHROMOSOME (BCR / abl 5300 REAL TIME PCR (SPECIMENS TO REACH US WITHIN 48 HRS) 3.0 ML (1.0 ML) A/R 1,3,5 : 10 HRS 3, 5, 1: 1800HRS
qualitative) +CLINICAL HISTORY
URINE
1358 1591UH PHOSPHORUS, 24HRS URINE 230 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
1359 1591H PHOSPHORUS, SERUM 170 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK -SITE OF BIOPSY & CLINICAL
1360 RD1437 PIK3CA Gene Mutation 5700 PCR Sequencing 2 BLOCKS AMBIENT 2: 0930 HRS 7 DAYS
DETAILS MANDATORY IF TISSUE RECD.
TISSUE PROCESSING WILL BE CHARGED
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
PIN 4
1361 Z222K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
PITITUARY LESION
BLOCK + SITE OF BIOPSY AND CLINICAL
HORMONES (Prolactin,
1362 Z239 8000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
Growth hormone, LH, FSH,
IT WILL BE CHARGED FOR TISSUE
ACTH,TSH)
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
PLACENTAL ALKALINE
1363 Z074K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
PHOSPHATASE
IT WILL BE CHARGED FOR TISSUE
PROCESSING
HEPARIN WHOLE BLOOD (CLINICAL
1364 4332P PLASMA OXALATE 8750 SPECTROPHOTOMETERY HISTORY, AGE & GENDER IS MANDATORY) 10 ML ( 2 VIALS) 2-8°C 3 : 11:00 HRS 3 rd DAY
HEMOLYSED SPECIMEN NOT ACCEPTABLE.

PLASMA-EDTA (CLINICAL HISTORY


REQUIRED)(STANDING/ SUPINE) UPRIGHT
POSTURE INDUCES A PROMPT ELEVATION FROZEN: UP
1365 3216 Plasma RENIN 5400 RADIO IMMUNOASSAY 5.0 ML (3.0 ML) 2, 5: 1430 hrs NEXT DAY
IN PLASMA RENIN ACTIVITY BEGINNING IN TO 2 WEEKS
15MINUTES AND PEAKING BETWEEN 60
&120 MINUTES

Stable isotope dilution Gas MONDAY 09:00HRS


PLASMA VERY LONG CHAIN
1366 4069 21000 Chromatography Mass HEPARIN PLASMA 3.0ML(2.0ML) FROZEN TO SATURDAY ONE MONTH
FATTY ACIDS
spectrometry 09:00HRS

Plasminogen Activator
1367 RD1432 Inhibitor-1 (PAI-1) / SERPINE- 12000 PCR Sequencing WHOLE BLOOD EDTA 4 ML AMBIENT 4; 0930 HRS 7 DAYS
1, 4G/5G Genotyping
PLATELET ANTIBODIES
SATURDAY
1368 5115 (SERUM,IMMUNOFLUORESCE 10000 IMMUNOFLUORESCENCE SERUM 2.0ML(1.0ML) R/F 4 DAYS
09:00HRS
NCE)
PLATELET COUNT, EDTA MANUAL MICROSCOPY,5 PART
1369 5160 150 EDTA WHOLE BLOOD , SMEARS 3 ML SMEARS DAILY SAME DAY
WHOLE BLOOD AUTO ANALYSER
SPECTROPHOTOMETRY / STERILE
1370 5196 PLEURAL FLUID, ROUTINE 750 FLUID 5 ML DAILY SAME DAY
MICROSCOPY CONTAINER
WB-EDTA / BONE MARROW (SPECIMEN TO
PML Ra Ra t(15:17),
1371 9905 5500 REAL TIME PCR REACH US WITHIN 48 HRS)+CLINICAL 3.0 ML / 2.0 ML A/R 2,4,6:1000 HRS 4,6,2:1800 HRS
QUALITATIVE
HISTORY
WB-EDTA / BONE MARROW (SPECIMEN TO
PML Ra Ra t(15:17),
1372 9906 5500 REAL TIME PCR REACH US WITHIN 48 HRS)+CLINICAL 3.0 ML / 2.0 ML A/R 2,4,6:1000 HRS 4,6,2:1800 HRS
QUANTITATIVE
HISTORY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ Site of biopsy and Clinical details
1373 Z265K PMS2 2700 IMMUNOHISTOCHEMISTRY 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
MANDATORY.IF TISSUE RECEIVED IT WILL
BE CHARGED FOR TISSUE PROCESSING
PNEUMOCYSTIS CARINII
1374 7745S 2900 SPECIAL STAINS: MICROSCOPY SPUTUM / BAL RESPIRATORY FLUIDS 3.0 ML (1.0 ML) A/R/F DAILY:1500 HRS NEXT DAY
DETECTION
1375 1672 PNH (CD55 and CD59) 6900 FLOW CYTOMETRY EDTA WB + CLINICAL HISTORY 3.0ML(1.0ML) A DAILY :1530HRS 3RD DAY 6.00PM
IST TRIMESTER: CHORIONIC VILLI; 2ND OR
IIIRD TRIMESTER: PLACENTAL VILLI. PLEASE
10 GM CHORIONIC
SEND CLINICAL HISTORY IN SPECIFIED
VILLI IN STERILE RED
FORMAT-
TOP
CHORIONIC VILLI
VACCUTAINER,CONT
POC FISH REFLEX TO POC OR HEART BLOOD
1376 9219RFX 6900 FISH OR CYTOGENETICS AINING STERILE A/R DAILY 11:00HRS 21 DAYS
KARYOTYPING OR CORD BLOOD
SALINE WITH 3-4
IF NONE OF THESE ARE AVAILABLE, THEN A
DROPS OF PROCAINE
SMALL PIECE OF FOETAL SKIN (THIGH,
PENICILLIN OR
STOMACH, ARMS)
GENTAMICIN
FOR CHROMOSOMAL ANALYSIS/FISH
Don't send full fetus ti the dept.
URINE -24 HOURS WITHOUT
PRESERVATIVE & REFRIGERATE DURING
COLLECTION.TO PROTECT FROM LIGHT,
ION EXCHANGE 2-8°C
PORPHOBILINOGEN THE URINE SPECIMEN NEEDS TO BE
1377 1652 9000 CHROMATOGRAPHY 20.0 ML (15.0 ML) (4DAYS); F (1 3: 1100 HRS NEXT DAY
QUANTITATIVE URINE, 24 HRS COLLECTED IN A DARK COLOURED BOTTLE.
/SPECTROPHOTOMETRY MONTH)
( MENTION 24 HRS. TOTAL URINE VOLUME
ON TRF ALONG WITH PATIENT AGE,
GENDER AND CLINICAL HISTORY DETAILS.)

RANDOM URINE WITHOUT


PRESERVATIVE.TO PROTECT FROM LIGHT,
PORPHOBILINOGEN ION EXCHANGE THE URINE SPECIMEN NEEDS TO BE 2-8°C
1378 1653 QUANTITATIVE URINE, 8000 CHROMATOGRAPHY COLLECTED IN A DARK COLOURED 20.0 ML (15.0 ML) (4DAYS); F (1 3: 1100 HRS NEXT DAY
Random /SPECTROPHOTOMETRY BOTTLE.(PATIENT AGE, GENDER AND MONTH)
CLINICAL HISTORY DETAILS.)

RANDOM URINE WITHOUT PRESERVATIVE


TO PROTECT FROM LIGHT, THE URINE
SPECIMEN NEEDS TO BE COLLECTED IN A
DARK COLOURED BOTTLE. (PATIENT AGE, 2-8°C
1379 4170 PORPHOBILINOGEN, URINE 5000 CHEMICAL ANALYSIS GENDER AND CLINICAL HISTORY DETAILS.) 20.0 ML (10.0ML) (4DAYS); F (> 6 : 1100hrs SAME DAY
(PATIENT AGE, GENDER AND CLINICAL 4DAYS)
HISTORY DETAILS.)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
24HRS URINE (NO
PRESERVATIVE).COLLECT 24HRS URINE
SAMPLE IN BROWN BOTTLE. COURIER THE
PORPHYRINS SPECIATION, 25ML OF 24HRS URINE ALIQUOT IN DARK 1ST & 3RD
1380 9999 6600 HPLC 25.0ML(10.0ML) F 3RD DAY 18:00HRS
24HRS URINE BROWN CONTAINER.MENTION 24HRS WED:1000 HRS
URINE VOLUME ON THE REQUISITION
FORM. DOCTORS NAME AND CONTACT
DETAILS REQUIRED.

URINE -24 HOURS WITHOUT


PRESERVATIVE & REFRIGERATE DURING
COLLECTION.TO PROTECT FROM LIGHT,
ION EXCHANGE THE URINE SPECIMEN NEEDS TO BE 2-8°C
1381 4516 PORPHYRINS, 24HRS URINE 6600 CHROMATOGRAPHY COLLECTED IN A DARK COLOURED 20.0 ML (15.0 ML) (4DAYS); F (1 3, 11:00HRS NEXT DAY
/SPECTROPHOTOMETRY BOTTLEDARKEDCOLOURED BOTTLE. ( MONTH)
MENTION 24 HRS. TOTAL URINE VOLUME
ON TRF ALONG WITH PATIENT AGE,
GENDER AND CLINICAL HISTORY DETAILS.)

1382 5311HD POTASSIUM, SERUM 170 IMT SERUM 2 ML (1 ML) RED DAILY SAME DAY
URINE
1383 5311UHD POTASSIUM, URINE 210 IMT 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
2-8°C (7
DAYS); F (>7 -
10 -12 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
1384 1550 PREALBUMIN 3300 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 2,6 : 12:00 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

2-8°C (24 DAILY (MON TO


PREGNANCY ASSOCIATED SERUM (Clinical Details ); LMP date
1385 3300 1550 CHEMILUMINESCENCE 2.0 ML (1.0ML) HRS); F (2 SAT): SAME DAY
Plasma PROTEIN-A (PAPP-A) required
Months) 0500,1430,1600 hrs
PLASTIC
CHROMATOGRAPHY
1386 3189 PREGNANCY TEST, URINE 230 URINE 1 ML DISPOSABLE DAILY SAME DAY
IMMUNOASSAY
CONTAINER
F (TO BE F
TWO ALIQOUTS OF
PRE-OP ROUTINE FASTING, CITRATED PLATELET POOR IMMEDIATELY
CLOT BASED / AUTOMATED CELL 1.5 ML EACH )+ 3.0
COAGULATION PROFILE (PT, PLASMA* - AT MINUS 20° C + *(DOUBLE AT -20°C &
1387 3898 2700 COUNTER / MICROSCOPY / CLOT (2.0) ML EDTA DAILY:14:30 HRS NEXT DAY
APTT, Platelet Count, Factor CENTRIFUGED PLASMA)* WHOLE BLOOD TRANSPORTE
SOLUBILITY WHOLE BL0OD + 2.0
XIII Activity) EDTA + BLOOD SMEAR D IN DRY ICE)
PERIPHERAL SMEAR
+A
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SPECTROPHOTOMETRY, 5 PART EDTA 3ML, SERUM PURPLE+
AUTO ANALYSER, EDTAWB+ URINE+ SERUM+ PLASMA 3ML, PLASMA RED+ GREY+
1388 1344 PREOPERATIVE PANEL 1650 DAILY SAME DAY
FLOCCULATIONMETHOD, CMIA, FLOURIDE FASTING 3ML, URINE URINE
TUBE AGGLUTINATION 5ML CONTAINER

SPECTROPHOTOMETRY, 5 PART EDTA 3ML, SERUM PURPLE+


AUTO ANALYSER, EDTAWB+ URINE+ SERUM+ PLASMA 3ML, PLASMA RED+ GREY+
1389 1344A PREOPERATIVE PANEL 1650 DAILY SAME DAY
FLOCCULATIONMETHOD, CMIA, FLOURIDE FASTING 3ML, URINE URINE
TUBE AGGLUTINATION 5ML CONTAINER

SERUM [Samples should not be taken from


patients receiving therapy 2-8°C (24
with high biotin doses (i.e. > 5 mg/day) HRS); F (>24 DAILY (MON TO
1390 3226 PROCALCITONIN 2200 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) SAME DAY
until at least 8 hours HRS-3 SAT):1600 hrs
following the last biotin administration] MONTH)
+ Clinical History
DAILY (MON TO
SERUM ( Age+ Gender+ LMP +Clinical 2-8°C (48 hrs);
1391 3163 PROGESTERONE 500 CHEMILUMINESCENCE 1.0 mL (0.5 mL) SAT): 0500, 1900 AFTER 3.0 hrs
History Required) F (>48 hrs)
hrs
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
PROGESTERONE RECEPTOR
1392 Z002K 1750 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(PgR)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
1393 3206 PROLACTIN 580 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
TISSUE IN 10%FORMALIN / PARAFFIN
PROLIFERATING CELL BLOCK + SITE OF BIOPSY AND CLINICAL
1394 Z010K NUCLEAR ANTIGEN (PCNA), 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IHC IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
PROSTATE SPECIFIC ANTIGEN
1395 Z041K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
(PSA)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SERUM (AGE+SEX+ CLINICAL HISTORY
REQUIRED) DO NOT SCHEDULE ANY DAILY (MON TO
PROSTATE SPECIFIC ANTIGEN 2-8°C (24 hrs);
1396 3547 1650 CHEMILUMINESCENCE PROSTATIC EXAMINATION / 2.0 ML (1.0 ML) SAT): SAME DAY
(PSA) FREE & TOTAL F (3 Months)
INSTRUMENTATION ATLEAST FOR 3 DAYS 0500,1430,1600 hrs
BEFORE BLOOD TEST IS PERFORMED.
PROSTATE SPECIFIC ANTIGEN
1397 3546 950 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
(PSA) TOTAL
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* 2 VIALS- AT MINUS 20° TWO ALIQOUTS OF WED & SAT:11:00
1398 3836 PROTEIN C ACTIVITY 4300 CLOT BASED AT -20°C & SAME DAY
C(DOUBLE CENTRIFUGED PLASMA)* + 1.5 ML EACH HRS
TRANSPORTE
CLINICAL HISTORY
D IN DRY ICE)

SATURDAY:09:00HR
PROTEIN C ANTIGEN, PLASMA RADIAL IMMUNODIFFUSION
1399 7164 4500 Platelet Poor Citrated plasma 3.0ML(2.0ML) FROZEN S AND WEDNESDAY 4 DAYS
BY RID METHOD (RID)
09:00HRS
SERUM (CLINICAL HISTORY, AGE &
1400 1580 PROTEIN ELECTROPHORESIS 1000 ELECTROPHORESIS 1.0 ML (0.8 ML) 2-8°C (7 DAYS) DAILY: 1200 hrs SAME DAY
GENDER IS MANDATORY )
2-8°C (7
PROTEIN ELECTROPHORESIS ELECTROPHORESIS SERUM (CLINICAL HISTORY, AGE &
1401 9201RFX 3000 2.0 ML (1.0ML) DAYS); F (>7 2,3,5: 1200 hrs NEXT DAY
REFLEX TO IMMUNOFIXATION +IMMUNOELECTROPHORESIS GENDER IS MANDATORY )
DAYS)
PROTEIN ELECTROPHORESIS, CSF + (CLINICAL HISTORY, AGE & GENDER
1402 1580C 2000 ELECTROPHORESIS 5ML (3.5 ML) 2-8°C (7 DAYS) DAILY: 1200 hrs SAME DAY
CSF IS MANDATORY ).
URINE -24 HOURS WITHOUT
PRESERVATIVE & REFRIGERATE DURING
PROTEIN ELECTROPHORESIS, COLLECTION) +
1403 1580U 925 ELECTROPHORESIS 20 ML ( 15 ML) 2-8°C (7 DAYS) DAILY: 1200 hrs SAME DAY
URINE MENTION 24 HRS. TOTAL URINE VOLUME
ON TRF ALONG WITH PATIENT AGE, GEND
ER AND CLINICAL HISTORY DETAILS.

URINE -24 HOURS WITHOUT


PROTEIN ELECTROPHORESIS, PRESERVATIVE & REFRIGERATE DURING
URINE REFLEX TO ELECTROPHORESIS COLLECTION) +
1404 9201RFXU 3500 20 ML ( 15 ML) 2-8°C (7 DAYS) 2,3,5:1200 hrs NEXT DAY
IMMUNOFIXATION +IMMUNOELECTROPHORESIS MENTION 24 HRS. TOTAL URINE VOLUME
ELECTROPHORESIS, URINE ON TRF ALONG WITH PATIENT AGE, GEND
ER AND CLINICAL HISTORY DETAILS.

F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* 2 VIALS- AT MINUS 20° TWO ALIQOUTS OF WED & SAT:11:00
1405 3837 PROTEIN S ACTIVITY 4300 CLOT BASED AT -20°C & SAME DAY
C(DOUBLE CENTRIFUGED PLASMA)* + 1.5 ML EACH HRS
TRANSPORTE
CLINICAL HISTORY
D IN DRY ICE)
URINE
1406 1324U PROTEIN, 24HRS URINE 400 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
PROTHROMBIN TIME,
1407 3892 350 COAGULOMETER FROZEN CITRATE PPP AT -20 C 2 ML CITRATE TUBE DAILY SAME DAY
PLASMA
SERUM (AGE+GENDER+ CLINICAL HISTORY
PSA REFLEX TO FREE PSA REQUIRED) DO NOT SCHEDULE ANY DAILY (MON TO
2-8°C (24 hrs);
1408 3548 (If PSA is > 4.0 perform Free 1250 CHEMILUMINESCENCE PROSTATIC EXAMINATION / 2.0 ML (1.0 ML) SAT): SAME DAY
F ( >24 hrs)
PSA) INSTRUMENTATION ATLEAST FOR 3 DAYS 0500,1430,1600 hrs
BEFORE BLOOD TEST IS PERFORMED.
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C(2
SERUM + CLINICAL HISTORY + (AGE &
1409 1744 PSEUDOCHOLINESTERASE 1200 SPECTOPHOTOMETRY 2.0 ml (1.0 ml) DAYS); F (>2 3,6 : 1100 hrs SAME DAY
GENDER IS MANDATORY)
DAYS)
2-8°C (2
PTH: DAILY (MON
SERUM for Calcium and EDTA Plasma for DAYS); F (> 2
PTH, INTACT INCLUDING CHEMILUMINESCENCE / TO SAT):
1410 3944 2000 iPTH (Freeze the Plasma immediately after 2.0 ML (1.0 ML) DAYS) & SAME DAY
TOTAL CALCIUM SPECTROPHOTOMETRY 0500,1430,1600
collection) + Clinical History FROZEN EDTA
hrs; CA- 1830hrs
PLASMA
EDTA WHOLE BLOOD / EDTA BONE JAK2 V617F = 1,3,5 JAK2 V617F = 4,6,2,JAK2
1411 RD1310RFX PV Jak2 Reflex Panel 7000 PCR-SEQUENCING MARROW + CLINICAL HISTORY in specified 5 ML (3ML) A ,JAK2 EXON 12 =1 EXON 12 = 7 WORKING
format ,5; 9.30 AM DAYS 6.30 PM

WB-EDTA 3.0 (1.0)


ML, PERIPHERAL
AUTOMATED CELL COUNTER, BLOOD SMEARS: 2
MICROSCOPY OF STAINED THICK / 2 THIN
SMEAR, ,ENZYME BLACK TOP 2.0 ML,, EDTA WB
PYRO-DETECT ( CBC, CHROMATOGRAPHY, MODIFIED WB-EDTA, PERIPHERAL BLOOD SMEARS ESR TUBE (GREINER) :A A R ALL BIOCHEM &
DAILY:1830 HRS
MP(Smear), MP antigen, ESR, WESTERGREN,SPECTROPHOTO HEPARIN WB/WHOLE BLOOD SPS, SERUM BLACK TOP 2.0 ML, URINE 2- HEMATOLOGY TESTS SAME
FOR BIOCHEM,
1412 DT3101 CRP, Urinalysis, Stool Routine, 2850 METRY,NEPHELOMETRY, 10-12 HRS FASTING, URINE, STOOL (ESR WHOLE BLOOD SPS 8°C(24 HRS) , DAY EXCEPT BLOOD
FOR CBC, MP ,ESR
WIDAL, Hepatic Profile, Blood DIPSTICK & MICROSCOPY, ON SITE) + (AGE & GENDER IS 5.0 (3.0) ML, SERUM SERUM 2-8°C CULTURE : PRELIMINARY
DAILY 17:30
Culture Preliminary & Final) AGGLUTINATION, BACTERIAL MANDATORY) 3.0 (2.0) ML, URINE (2 DAYS); F (> 2ND DAY / FINAL 7TH DAY
CULTURE & BIOCHEMICAL 15.0 (10.0) ML 2 DAYS)
IDENTIFICATION REACTIONS, (PREFERABLY
BACTERIAL REFRIGERATED),
STOOL 1.0 GM / 1.0
ML

R/ FOR CRP &


ASO 2-8°C (7 DAILY: 1100HRS
RA TOTAL-(Anti-
DAYS); F (3 FORANA/ DAILY
CCP,ANA,CRP(Quantitative),R
1413 4635M 3000 NEPHELOMETRY/CMIA/EIA SERUM + CLINICAL HISTORY 2-5 ML MONTHS, IF F 18:00HRS FOR RF & SAME DAY
heumatoid factor
WITHIN 24 CRP/DAILY:10:30,
quantitative)
HRS OF 16:30 FOR ANTI CCP
COLLECTION).

PLASMA-EDTA & SERUM (CLINICAL


HISTORY REQUIRED) (STANDING/ SUPINE)
PLASMA EDTA
RAAS SCREENING PANEL UPRIGHT POSTURE INDUCES A PROMPT FROZEN: UP
1414 2333 5200 RADIO IMMUNOASSAY 5.0(3.0)ML + SERUM 2, 5: 1430 hrs NEXT DAY
(Plasma Renin, Aldosterone) ELEVATION IN PLASMA RENIN ACTIVITY TO 2 WEEKS
1.5 (1.0) ML
BEGINNING IN 15MINUTES AND PEAKING
BETWEEN 60 &120 MINUTES
2-8°C (3
RAPID FILARIA ANTIGEN
1415 7664R 1200 IMMUNOCHROMATOGRAPHY SERUM/PLASMA HEPARIN 1.0 ML days)>3 days - DAILY:1530 HRS SAME DAY
DETECTION
20°C
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
RAPID TYPHI IgM (TYPHI RAPID QUALITATIVE SANDWICH
1416 9075 600 SERUM/EDTA PLASMA 3 ML EDTA DAILY SAME DAY
CHECK) IMMUNOASSAY
RATIONAL THYROID PANEL
1417 1499RTP (TSH3G - UL If abnormal then 500 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
FT3 & FT4)

ONE EDTA
BLOOD
SAMPLE TO
BE KEPT AT 2-
8°C ONLY ,
1418 3523 RBC FOLATE 2000 CHEMILUMINESCENCE 2 TUBES OF WB-EDTA+CLINICAL HISTORY 2.0 ML + 2.0 ML 1,3,5: 1430 hrs SAME DAY
FOR SECOND
EDTA SAMPLE
2-8°C (24 HRS)
AND F (>24
HOURS)

HOMOCYSTEINE;
HOMOCYSTEI
RECURRENT MISCARRIAGE DAILY (MON TO
FASTING SERUM /PLASMA (Centrfuge NE:2-8°C (48
PANEL (Protein C, Protein S, SAT): 0500, 1430,
samples and remove SERUM or plasma hrs); F (>48
Lupus Antigoagulent, 1600 HRS,WED &
CLOT BASED / from red blood cells as soon as possible to hrs)A/R/F
Antiphospholipid Antibody, 2.0 ML AND TWO SAT:11:00 HRS;
CHEMILUMINESCENCE/CHROM ensure accurate measurement.) AND AND F (TO BE LUPUS ANTICOAGULANT
1419 1253A Serum Homocystein, Anti 17500 ALIQOUTS OF 1.5 ML DAILY FOR
OGENIC ASSAY/ENZYME CITRATED PLATELET POOR PLASMA* 2 F NEXT DAY SAME DAY
Thrombin III Activity) [To be EACH Antiphospholipid
IMMUNOASSAY VIALS- AT MINUS 20° C(DOUBLE IMMEDIATELY
ordered with Factor V leiden Antibody--MON/
CENTRIFUGED PLASMA) + CLINICAL AT -20°C &
(# 9894) if required ] which WED/ FRII 10:00
HISTORY TRANSPORTE
will be charged separately HRS FOR LUPUS
D IN DRY ICE)
ANTICOAGULANT
REDUCING SUBSTANCES IN
QUALITATIVE CHEMICAL RANDOM URINE WITHOUT PRESERVATIVE
1420 5200R PAEDIATRIC URINE 300 15.0 ML (10.0 ML) 2-8°C (48 HRS) DAILY:17.30 HRS SAME DAY
ANALYSIS + CLINICAL HISTORY
SPECIMENS
REDUCING SUBSTANCES, QUALITATIVE CHEMICAL
1421 2365 300 STOOL IN LEAK PROOF CONTAINER 10G (1G)/1.0 ML A/R DAILY: 1530 HRS SAME DAY
STOOL ANALYSIS
SPECTROPHOTOMETRY, 5 PART EDTA 3ML, SERUM PURPLE+
REGULAR HEALTH CHECK AUTO ANALYSER, EDTAWB+ URINE+ SERUM+ PLASMA 3ML, PLASMA RED+ GREY+
1422 1003 1100 DAILY SAME DAY
PROFILE FLOCCULATIONMETHOD, CMIA, FLOURIDE FASTING 3ML, URINE URINE
TUBE AGGLUTINATION 5ML CONTAINER
EVERY TUESDAY:
1423 RD1441 RET GENE MUTATIONS 6500 PCR SEQUENCING EDTA WHOLE BLOOD 5.0 ML A 16TH DAY
10:30 HRS
RETICULOCYTE COUNT, EDTA
1424 5170 250 MANUAL MICROSCOPY EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY
WHOLE BLOOD
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (7
DAYS); F (>7 -
10 -12 HRS FASTING SERUM + CLINICAL
RETINOL BINDING PROTEIN 90 DAYS, IF F 2nd & 4th MON :
1425 4520 2600 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 3RD DAY
(RBP) WITHIN 24 1200 HRS
MANDATORY)
HRS. OF
COLLECTION)
RETURN OF PARAFFIN BLOCK
1426 1500R 200 HISTOPATHOLOGY BLOCK/ SLIDE 1 CM A DAILY:1030 HRS 4TH DAY
/ SLIDE
BLOCKS .Please send Paraffin blocks with
complete clinical history and previous
REVIEW/SLIDE REVIEW histopath report(Mandatory) so as to MONDAY 09:00HRS
16-20
1427 7202 16TO20 BLOCKS/SLIDES - CoE 9800 IHC match the site of the tissue A TO SATURDAY 8 DAYS
BLOCKS/SLIDES
Histopathlogy sample/Paraffin Block numbers belongs to 09:00HRS
the same patient or not. If not received,
will be created as a problem sample.

BLOCKS .Please send Paraffin blocks with


complete clinical history and previous
REVIEW/SLIDE REVIEW histopath report(Mandatory) so as to MONDAY 09:00HRS
21 -25
1428 7203 21TO25 BLOCKS/SLIDES- - 10300 IHC match the site of the tissue A TO SATURDAY 8 DAYS
BLOCKS/SLIDES
CoE Histopathlogy sample/Paraffin Block numbers belongs to 09:00HRS
the same patient or not. If not received,
will be created as a problem sample.

2-8°C (7
DAYS); F (3
MONTHS, IF F
WITHIN 24 DAILY;1200 HRS,
RHEUMATIC FEVER PANEL
IMMUNOTURBIDOMETRY, SERUM/THROAT SWAB/CITRATE WB 1 ML+ 2(1) SWAB + HRS OF FOR CRP DAILY : 3RD DAY, FOR CRP AND
1429 5001 (ASO,CRP,ESR,THROAT SWAB 1600
CULTURE/ NEPHELOMETRY/ LPA BLACK TOP 2.0 ML COLLECTION). 18:00 HRS, FOR ASO DAILY : SAME DAY
CULTURE/SENSITIVITY)
FOR THROAT ASO 15:30 HRS
SWAB
CULTURE AT
AMBIENT

2-8°C (7
12 -14 HRS FASTING SERUM (LIPEMIC DAYS); F (>7 -
RHEUMATOID ARTHARITIS DAILY 18:00HRS
SAMPLE SHOULD BE AVOIDED) + CLINICAL 90 DAYS, IF F
1430 5008 PANEL (ANA, RHEUMATOID 3500 NEPHELOMETRY 2.0 ML (1.5 ML) FOR RF/12:00 FOR SAME DAY
HISTORY + (AGE & GENDER IS WITHIN 24
FACTOR, ANTI CCP) ANTI CCP
MANDATORY) HRS. OF
COLLECTION)
RHEUMATOID FACTOR
1431 1540D 550 NEPHELOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
ANTIBODIES
RHEUMATOID FACTOR, LATEX PARTICLE
1432 1328 650 SERUM 2 ML (1 ML) RED DAILY SAME DAY
SERUM AGGLUTINATION METHOD
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2 &4: 1000 HRS(for
RHEUMATOLOGY PROFILE - 1 immunoblot), for
IMMUNOBLOT / FARR SERUM IN 2 VIALS 1 AMBIENT+ 1 SAME DAY, for ENA
1433 1074 (Rheumatology Profile - 2, 7000 1.0 ML (0.5 ML) A/R/F ENA
RADIOBINDING ASSAY REFRIGERATED :Tue/Thru(1900 hrs)
DSDNA TITRE) (Tues/Thurs:1000
hrs)
RHEUMATOLOGY PROFILE - 2 2-8°C (14
1434 1075 (SM ABS, U1SNRNP ABS, SS-A 6000 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
ABS, SS-B ABS) (>14 days)
TUESDAY, 1
RMP TOTAL (Protein C PM,Anticardiolipin
Activity, FREE PROTEIN S, antibody:daily:1100
LUPUS ANTICOAGULANT hrs and B2GP
CLOT BASED/ 2.0 ML - SERUM & NEXT DAY --FOR LUPUS
Factor VIII SCREENING FASTING SERUM, CITRATED PLATELET IgG/IgM:2,5:1100
CHEMILUMINESCENCE/ EDTA PLASMA EACH ANTICOAGULANT, FACTOR
PROFILE, HOMOCYSTEINE, POOR PLASMA* - AT MINUS 20° C hrs--FOR LUPUS
1435 4637 21500 CHROMOGENIC ASSAY/ ENZYME & THREE ALIQUOTS FROZEN VIII, PROTEIN C AND
Antithrombin III activity, *(DOUBLE CENTRIFUGED PLASMA)* + ANTICOAGULANT,
IMMUNOASSAY/ PCR OF 2ML EACH ANTITHROMBIN III -
Anticardiolipin antibody, CLINICAL HISTORY+ EDTA WHOLE BLOOD FACTOR VIII,
SEQUENCING CITRATED PLASMA WEDNESDAY
Factor V Leiden, ANTI ß2 PROTEIN C AND
GLYCOPROTEIN 1 IGM/ IGG, ANTITHROMBIN III -
FACTOR VIII ACTIVITY) MONDAY, 10.00
AM
ROTA VIRUS ANTIGEN
RAPID
1436 7662 DETECTION FROM STOOL; 1500 STOOL IN LEAK PROOF CONTAINER 2.0 (1.0) G / 1.0 ML A/R DAILY :16:00 HRS SAME DAY
IMMUNOCHROMATOGRAPHY
RAPID CARD TEST
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1437 Z230 ROUND CELL TUMOURS 7200 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
ROUND CELL TUMOURS -
BLOCK + SITE OF BIOPSY AND CLINICAL
BONE (NSE, S-100P, CK,
1438 Z226 9000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
DESMIN, CD45,
IT WILL BE CHARGED FOR TISSUE
SYNAP/CHROMAA, MIC-2)
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
ROUND CELL TUMOURS
1439 Z224 5000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
(ADULTS) - 1 (NSE, CK, CD45)
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
ROUND CELL TUMOURS BLOCK + SITE OF BIOPSY AND CLINICAL
1440 Z225 (ADULTS) - 2 (HMB45, MPO, S- 5500 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
100P) IT WILL BE CHARGED FOR TISSUE
PROCESSING
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
3.0 (1.5) ML + 1.5
DAILY: 0700 HRS
(1.0) ML + 3.0 ML + 12 DAYS WORKING, (WED.
FASTING, CITRATED PLASMA - AT MINUS LUPUS
CELL CULTURE FOR 3.0 ML (FOR / SAT. & MON. / THU) FOR
20° C + SERUM, WB- HEPARIN TO REACH ANTIOAGULANT - 1,
RPL (RECURRENT PREGNENCY CHROMOSOMAL ANALYSIS, COAGULATION - 3 LUPUS NEXT DAY;
1441 1478 6500 US WITHIN 48 HRS + CLINICAL F/A/A/A 3, 5: 1000 HRS,
LOSS PANEL) PANEL CLOT BASED & ENZYME VIALS OF 1ML EACH, ANTICARDIOLIPIN &
HISTORY*(DOUBLE CENTRIFUGED ANTICARDIOLIPIN &
IMMUNOASSAY OF FROZEN ANTIPHOSPHOLIPID SAME
PLASMA) ANTIPHOSPHOLIPID
CITRATED PLASMA DAY
DAILY: 1100 HRS
AT -20°C
RSV- RESPIRATORY SYNCYTIAL
1442 3963 8000 Immunofluorescence SERUM 2.0ML(1.0ML) R/F WED 09:00HRS 3 DAYS
VIRUS-IGG
RSV- RESPIRATORY SYNCYTIAL
1443 3964 8000 Immunofluorescence SERUM 2.0ML(1.0ML) R/F WED 09:00HRS 3 DAYS
VIRUS-IGM
2-8°C (4 SAME DAY(AVIDITY WILL
RUBELLA IgG & IgM Enzyme Linked Immnunosorbent
1444 9421M 1450 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY:0300 am BE REPORTED IF IgG AND
ANTIBODIES assay
(>4 DAYS) IgM both ARE POSITIVE)
2-8°C (4
Enzyme Linked Immnunosorbent
1445 9416M RUBELLA IgG ANTIBODIES 1200 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY:0300 am SAME DAY
assay
(>4 DAYS)
2-8°C (4
Enzyme Linked Immnunosorbent
1446 9434 RUBELLA IGG AVIDITY 1500 SERUM 1.0 ML(0.5 ML) DAYS); -20°C DAILY:0300 am SAME DAY :1230 HRS
assay
(>4 DAYS)
Enzyme Linked Immnunosorbent Rubella IGG/IGM
RUBELLA IGM / IGG +VE SERUM + EDTA PLASMA / CSF / AMNIOTIC 1ML(0.5ML) +2ML SAME DAY + NEXT DAY
1447 9217RFX 1950 assay + NESTED REVERSE A/R/F + F DAILY:0300 am +
REFLEX RUBELLA RNA PCR FLUID NASOPHARYNGEAL SWAB (1ML) X 2 VIALS :18:00 HRS
TRANSCRIPTASE PCR 1,4:10:00 HRS
2-8°C (4
Enzyme Linked Immnunosorbent
1448 2475M RUBELLA IgM ANTIBODIES 700 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY:0300 am SAME DAY
assay
(>4 DAYS)
NESTED REVERSE EDTA PLASMA / CSF / AMNIOTIC FLUID /
1449 9415 RUBELLA RNA PCR 4000 2ML (1ML) F 1,4 :9.00 HRS 2,5 : 19.00 HRS
TRANSCRIPTASE PCR NASOPHARYNGEAL SWAB
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1450 Z061K S-100 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1451 Z217K S-100 PROTEIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
2-8°C(2
SERUM + CLINICAL HISTORY + (AGE & 1st & 3rd TUE:
1452 9442 SALICYLATE 1350 SPECTOPHOTOMETRY 2.0 ml (1.0 ml) WEEKS); F (6 SAME DAY
GENDER IS MANDATORY) 1200 HRS
MONTHS)
SCA 1 (SPINAL CEREBRAL
1453 RD1412 3000 PCR - FRAGMENT ANALYSIS EDTA WHOLE BLOOD+CLINICAL HISTORY 5.0 ML ( 3.0 ML) A 3, 10:30 7 DAYS
ATAXIA TYPE-1)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SCA PANEL (SCA TYPE -
1454 4593 12500 PCR/ Fragment Analysis EDTA WHOLE BLOOD 3.0 ML A 3, 10:30 7 DAYS
1,12,2,3,6)
2-8°C (14
1455 1235 Scl-70 IgG ANTIBODIES 1800 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
2-8°C (3
SCLERODERMA DIAGNOSTIC DAYS);
ANA DAILY: 1100;
PANEL (ANA,U1 Sm -20°C (>3
1456 5003 7000 IFA/IMMUNOBLOT SERUM 2.0 ML 1530 HRS, for ENA : Same day:1900 hrs
RNP,CENTROMERE DAYS OR
Tue/Thru :1000 HRS
ABS,SCLERODERMA -70 IgG SHIPPED) FOR
ANA
2-8°C (3
SERUM/PLASMA (Heparin/ EDTA/ Sodium DAYS); -
1457 1739 Scrub Typhus Antibody 1000 Immunochromatograpy 2.0 ML (1.0 ML) DAILY: 1530 HRS SAME DAY
citrate) 20°C (>3
DAYS)
2-8°C (48
Enzyme Linked Immnunosorbent Thrusday:11.00 am
1458 1739E Scrub Typhus IgM Antibody 1000 SERUM 1.0 ML (0.5 ML) HRS); -20°C Same Day
assay hrs
>48 HRS)
SERUM-12-14 HRS FASTING (AGE &
1459 7153 SdLDL; SMALL DENSE LDL 4750 SPECTROPHOTOMETRY 2.0 ML (1.0 ML) F 2, 5:1200 hrs SAME DAY
GENDER IS MANDATORY)
SPOT URINE IN STERILE PLASTIC URINE
2-8°C (5
GFAAS WITH ZEEMAN CONTAINER AVAILABLE FROM SRL (10-20
1460 9140U SELENIUM URINE SPOT 3500 10-20 ML (5 ML) DAYS); F ( >5 - “1”, 11:30 HRS THIRD DAY
CORRECTION ml) VACCUTAINER COLLECTION WILL NOT
30 DAYS)
BE ACCEPTED
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO PRESERVATIVE)
2-8°C (5
GFAAS WITH ZEEMAN ALIQUOT. IN METAL FREE SCINTILLATION
1461 9140U24 SELENIUM, 24 HRS URINE 3500 10-20 ML (5 ML) DAYS); F ( >5 - “1”, 11:30 HRS THIRD DAY
CORRECTION VIAL AVAILABLE OR STERILE URINE
30 DAYS)
CONTAINER BOTH AVAILABLE FROM SRL
(NO PRESERVATIVE)
2-8°C (7
GFAAS WITH ZEEMAN IMPROVE/BD, SRL EDTA VACCUTAINER,
1462 9140 SELENIUM, BLOOD 3500 5.0 ML (3.0 ML) DAYS); F ( >7 - “1” , 11:30 HRS THIRD DAY
CORRECTION WHOLE BLOOD
30 DAYS)
MONDAY 09:00HRS
1463 8617 Selenium, Serum by ICPMS 4100 ICPMS SERUM 3.0ML(2.0ML) R TO SATURDAY 5 DAYS
09:00HRS
PLASTIC
PHYSICAL,CHEMICAL &
1464 1265 SEMEN ANALYSIS, SEMEN 500 SEMEN 1 ML DISPOSABLE DAILY SAME DAY
MICROSCOPY
CONTAINER
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SEMEN + CLINICAL HISTORY(PATIENT
SHOULD HAVE 2 TO 7 DAYS OF SEXUAL
ABSTINENCE AT THE TIME OF SEMEN
1465 6151 SEMEN FRUCTOSE 250 SPECTOPHOTOMETRY COLLECTION, TOTAL EJACULATE SHOULD 3.0 ML (2.0 ML) F DAILY : 1200 hrs SAME DAY
BE COLLECTED) (PATIENT AGE, GENDER
AND CLINICAL HISTORY DETAILS.)

SERUM BLOOD UREA


1466 1079H 220 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
NITROGEN
SERUM FREE LIGHT CHAIN
10 -12 HRS FASTING SERUM + CLINICAL
(Free Light Chain Kappa, Free 2-8°C (21
1467 1732 6200 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 2,5:1100 HRS NEXT DAY
Light Chain Lambda, DAYS)
MANDATORY)
Kappa/Lambda Ratio)
2-8°C (7
SEX HORMONE BINDING SERUM + CLINICAL HISTORY 2,4:
1468 3218 2200 CHEMILUMINESCENCE 1.0 ML (0.5 ML) DAYS); F (2 SAME DAY
GLOBULIN (SHBG) (AGE/GENDER) 0500,1430,1600 hrs
Months)
1469 2488 SICKLE CELL DNA PCR 3200 PCR EDTA WHOLE BLOOD + CLINICAL HISTORY 5.0 ML (3.0 ML) A 4: 0930 HRS 9 DAYS

AMNIOTIC FLUID (2-8 °C) (A) / CVS IN 20.0 ML (10.0 ML) / AMNIOTIC
STERILE SALINE / FETAL BLOOD EDTA & 10 MG (5-7 MG) / FLUID/ CVS AT
1470 2489 SICKLE CELL DNA PCR PND 9000 PCR 4: 0930 HRS 9 DAYS
WB-EDTA FOR BOTH PARENTS 5.0 ML (3.0 ML) / 5.0 2-8 °C,REST
MANDATORY + CLINICAL HISTORY ML (3.0 ML) AMBIENT
SICKLE SHORT PROGRAM
MON/THUS: 10:00
1471 2486 SICKLE CELL VARIANT 500 HPLC 3-4 DRIED BLOOD SPOT 2.0 ML (1.0 ML) A NEXT DAY
HRS
ANALYSIS, BLOOD SPOT
SODIUM METABISULFIDE/ DAILY:12:00,14:30,
1472 1400 SICKLING TEST 250 WB-EDTA +CLINICAL HISTORY 3.0 ML (2.0 ML) A NEXT DAY
MICROSCOPY 17:00 HRS
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

BLOCK/
SLIDES.PLEASE THE
SLIDE/PARAFFIN
BLOCK WITH
COMPLETE CLINICAL
HISTORY AND
PREVIOUS
HISTOPATH
REPORT(MANDATOR
Y) SO AS TO MATCH
THE SITE OF THE
TISSUE
SINGLE IHC MARKER - CoE MONDAY TO
1473 7196 1500 IMMUNO HISTOCHEMISTRY BLOCKS/ SLIDES SAMPLE/PARAFFIN AMBIENT 8 DAYS
Histopathlogy FRIDAY 09:00HRS
BLOCK NO. BELONGS
TO THE SAME
PATIENT OR NOT.
IT IS ALSO
MANDATORY TO
SENT X-RAY FILM
AND MRI REPORT
FOR BONE SAMPLES
AND CBC REPORT
FOR BONE MARROW
SAMPLES.

1] Require EDTA/Heparin Whole Blood to


be collected directly in relevant
vaccutainers only, [Label with time of
SIROLIMUS, EDTA/HEPARIN Tue,Thu, Sat at
1474 7166 7800 LCMSMS collection and administration of drug, 3.0 ML 2-8ºC Same day 19:00 hrs
WHOLE BLOOD 13:00Hrs
preferably with drug dose.]
2] DOCTOR CONTACT DETAILS AND
CLINICAL HISTORY IS MANDATORY
1475 1256 SKIN TEST-MANTOUX 170 MANUAL OTHERS OTHERS OTHERS DAILY 72 HRS
SLE DIAGNOSTIC PANEL (ANA DAILY;1100, 1530
1476 5004 2000 IMMUNOFLUORESCENT ASSAY SERUM 2 ML R+F SAME DAY
& DsDNA WITH TITRE) HRS

DAILY:1830 HRS,
SERUM-12-14 HRS FASTING (AGE & FOR LIPID PROFILE
1477 7139 SMALL DENSE LDL COMBO 5000 SPECTROPHOTOMETRY 2.0 ml (1.0 ml) F same day
GENDER IS MANDATORY) & FOR SdLDL 2,
5:1200 hrs
2-8°C (14
1478 1220 SMITH (Sm) IgG ANTIBODIES 1800 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
1479 5306HD SODIUM, SERUM 170 IMT SERUM 2 ML (1 ML) RED DAILY SAME DAY
URINE
1480 5306UHD SODIUM, URINE 210 IMT 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
2-8°C (8
DAYS); F (>8 -
10 -12 HRS FASTING SERUM + CLINICAL
SOLUBLE TRANSFERRIN 90 DAYS, IF F
1481 4523 1700 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) MON : 12:00 HRS NEXT DAY
RECEPTOR( sTFR) WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)

SPECIAL STAINS - ANY ONE


(PAS/MUCICARMINE/CONGO
RED/RETICULIN/AFB/GMS/PR TISSUE IN 10%FORMALIN / PARAFIN
1482 Z203K USSIAN 900 HISTOPATHOLOGY BLOCK (PLEASE LET US KNOW THE SITE OF 1 CM / 1 BLOCK A DAILY:1000 HRS 4TH DAY
BLUE/MASSON/LUXOL FAST BIOPSY & CLINICAL DETAILS)
BLUE/ FITE FARRACO/ELASTIC
STAIN/GIEMSA/ALCIAN BLUE )

SEMEN . (Please send 3.0ml of semen


sample in a sterile leaked proof plastic vial
, preferably within 24hrs of collection
between Monday 09:00hrs to Friday
09:00hrs, strictly in frozen condition. MONDAY 09:00HRS
SPERM DNA Indirect assay using acridine
1483 9444 4000 Kindly mention the Sperm count report or 3.0ML(4.0ML) FROZEN TO FRIDAY 6 DAYS
FRAGMENTATION orange by Flow Cytometry
any other test related reports, marital 09:00HRS
status, smoking and any other medical
complications details on the requisition
form. Preferably 3 days abstinence is
mandatory for good results.)

SPINAL MUSCULAR ATROPHY


1484 8764 2800 PCR SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 5 ML (3ML) A 5: 0930 HRS 9 DAYS
MICRODELETION PCR
EDTA WHOLE BLOOD/AMNIOTIC
FLUID/CVS IN STERILE SALINE/FETAL ONLY
5 ML (3ML)/20ML
SPINAL MUSCULAR ATROPHY BLOOD (EDTA) - AMNIOTIC FLUID/CVS IN AMNIOTIC
1485 8765 7200 PCR SEQUENCING (10 ML)/10GM (7 5: 0930 HRS 9 DAYS
MICRODELETION PCR PNDT STERILE SALINE/FETAL BLOOD (EDTA) & FLUID/ CVS AT
GM)/5 ML (3ML)
EDTA WHOLE BLOOD FOR BOTH PARENTS+ 2-8 °C; REST A
CLINICAL HISTORY
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1486 Z227 SPINDLE CELL TUMOUR 8900 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
1487 6025F SRY by FISH 5000 FISH HEPARIN WHOLE BLOOD 2 ML AMBIENT DAILY 7:00 HRS 5th Day
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

BIOPSIES SOULD BE FIXED FOR 24-48


HOURS IN 10% BUFFERED FORMALIN &
EMBEDDED IN PARAFFIN. TISSUE SHOULD
BE 4 MICRONS THICK & PLACED ON
SS18 (SYT) Gene
1488 6030F 3950 FISH POSITIVELY CHARGED SLIDES. 3 SLIDES / NOT APPLICABLE A Daily 07:00 hrs 7 days
Rearrangement FISH
SAMPLES CONTAINING MALIGNANT
TISSUE. * TIME AND DURATION OF
FIXATION SHOULD BE MENTIONED ON THE
TRF.* clinical details in specified format

2-8°C (14
SS-A (Ro) & SS-B (La) IgG
1489 1007 5000 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
ANTIBODIES
(>14 days)
2-8°C (14
1490 1204 SS-A (Ro) IgG ANTIBODIES 1800 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
2-8°C (14
1491 1205 SS-B (La) IgG ANTIBODIES 1800 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
STD DIAGNOSTIC PANEL (C
TRACHOMATIS DNA 2 SWABS /1PB/3 1:10:00 / 2,4, 6
SWABS / PARAFFIN BLOCK /SLIDES
1492 5005 DETECTOR, HPV DNA 6200 POLYMERASE CHAIN REACTION SLIDES /2.0 (1.0)/ 5.0 A/R/F 09:00 NEXT DAY 19:00 hrs
/CSF,URINE IN STERILE CONTAINER
DETECTOR, HSV DNA ML HRS/1,4:09:00 hrs
DETECTOR )
1493 2367 STOOL FOR OCCULT BLOOD 110 MICROSCOPY STOOL 10MG A DAILY SAME DAY

STOOL ROUTINE REFLEX TO MICROSCOPY + ANTIGEN


1494 9223RFX GIARDIA/CRYPTOSPIRA/ROTA 1000 DETECTION BY RAPID STOOL IN LEAK PROOF CONTAINER 10.0 (1.0) G / 1.0 ML A/R DAILY :15:30 HRS NEXT DAY
VIRUS ANTIGEN IMMUNOCHROMATOGRAPHY
PLASTIC
1495 2361 STOOL: OVA & PARASITE 180 MICROSCOPY STOOL 10 GM DISPOSABLE DAILY SAME DAY
CONTAINER
STOOL-HANGING DROP (FOR RICE-WATERY STOOL IN STERILE LEAK
1496 2368 400 MICROSCOPY 5 GM (2-3 GM) A DAILY: 1530 HRS SAME DAY
WALK-IN PATIENTS ONLY) PROOF CONTAINER
2-8°C (FEW
STREPTOCOCCUS GROUP B LATEX PARTICLE
1497 9641 1300 SERUM 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
ANTIGEN AGGLUTINATION
(LONGER)
2-8°C (FEW
STREPTOCOCCUS GROUP B LATEX PARTICLE
1498 9641C 1300 CSF 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
ANTIGEN, CSF AGGLUTINATION
(LONGER)
2-8°C (FEW
STREPTOCOCCUS LATEX PARTICLE
1499 9636 1300 SERUM 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
PNEUMONIAE ANTIGEN AGGLUTINATION
(LONGER)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (FEW
STREPTOCOCCUS LATEX PARTICLE
1500 9636C 1300 CSF 1.0 ML (0.5 ML) HRS); -20°C DAILY: 1530 HRS SAME DAY
PNEUMONIAE ANTIGEN, CSF AGGLUTINATION
(LONGER)
1501 3831 SUCROSE LYSIS TEST 1000 HEMOLYSIS EDTA WB 3.0 ML (2.0 ML) A 1/4/6: 11:00 HRS SAME DAY
SUDAN BLACK STAIN , CYTOCHEMISTRY SPECIAL BONE MARROW SMEAR + PERIPHERIAL 4 BM SMEARS + 2 PB
1502 Z205 1000 A DAILY:11.00 HRS 3RD DAY
BLOOD/SMEAR STAINS SMEAR + CLINICAL HISTORY SMEARS
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1503 Z086K SYNAPTOPHYSIN BLOCK 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
SPECTROPHOTOMETRY / STERILE
1504 5191 SYNOVIAL FLUID, ROUTINE 700 FLUID 5 ML DAILY SAME DAY
MICROSCOPY CONTAINER
2-8°C (48
Enzyme Linked Immnunosorbent
1505 9020E SYPHILIS ANTIBODIES 1300 SERUM 1.0 ML (0.5 ML) HRS); -20°C 5: 1030 HRS SAME DAY
assay
(>48 HRS)
1506 TPC T3, T4, TSH (THYROID PANEL) 530 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
CHEMILUMINESCENT EDTA WHOLE BLOOD (Labelled with time
1507 5950T TACROLIMUS 3650 MICROPARTICLE IMMUNOASSAY of collection & administration of drug with 3.0 ML (2.0 ML) 2-8°C (7 days) DAILY : 17.00 HRS Same day(1900 hrs)
(CMIA) transplant history)
1] Require EDTA/Heparin Whole Blood to
be collected directly in relevant
vaccutainers only [Label with time of
TACROLIMUS, EDTA/HEPARIN Tue,Thu, Sat at
1508 5950A 4250 LCMSMS collection and administration of drug, 3.0 ML 2-8ºC Same day 19:00 hrs
WHOLE BLOOD 13:00Hrs
preferably with drug dose.] 2]
Doctors contact details+clinical historyis
mandatory.
FLUORESCENT STAIN / ZIEHL ANY SPECIMEN IN STERILE CONTAINER/
DAILY ( MON TO SMEAR -48 HOURS, WK 3 &
TB CULTURE POSITIVE REFLEX NEELSEN STAIN & BACTEC MGIT WHOLE BLOOD HEPARIN / TISSUE IN 3.0 ML (2.0) ML / 1
1509 9215RFX 2750 R SAT): 1000 HRS + WK 6 (OR WHEN CULTURE
MDR BY PCR SEQUENCING 960 CULTURE + PCR - STERILE NORMAL SALINE + PURE AFB TISSUE + 1
1;0930 HRS IS POSITIVE) / 5; 1830 HRS
SEQUENCING CULTURE

AUTOMATED CELL COUNTER,


AUTOMATED (PHOTOMETRICAL EDTA WB :
EDTA WB +CITRATE WB BLACK TOP
TB MONITORING PANEL CAPILLARY STOPPED FLOW 3.0ML + Ambient
+SERUM 10-12 HRS FASTING IN 2 VIALS DAILY:1830 HRS,
1510 5010 (CBC,ESR,SGPT/SGOT/CREATI 2000 KINETIC ANALYSIS) / MANUAL 2.0ML+2.0ML+2.0 A/R, SERUM 2- SAME DAY
+SMEARS + SPUTUM +(AGE & GENDER IS FOR CBC, ESR 17:30
NINE,ANA,AFB SMEAR) (MODIFIED WESTERGREN), ML + 2-3 8°C (2 days); F
MANDATORY)
SPECTROPHOTOMETRY/IFA/STAI (> 2 days)
NING MICROSCOPY
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

FOR ADA TEST


SERUM /
FLUID SAMPLE
: F, A/R
FORTBFERON
BLOOD TO BE
COLLECTED IN
TUBES ( TB- MON: 0800 HOURS;
SERUM, PLEURAL FLUID, ASCITIC FLUID, NIL, TB TBFERON-
POLYMERASE CHAIN REACTION / 1.0 (0.5) ML, 2.0 3RD DAY, TBFERON- NEXT
TB PANEL (MYCO3 PCR, ADA, CSF. FOR GAMMA INTERFERON TO BE ANTIGEN & 1,3,5:1530 HRS,
1511 2440 6500 ENZYME IMMUNOASSAY / (1.0) ML, , 2.0 (1.0) DAY, SAME DAY 1900 PCR,
GAMMA INTERFERON) COLLECTED FROM SUNDAY TO THRUSDAY MITOGEN DAILY 0800 HRS
SPECTROPHOTOMETRY ML, , 2.0 (1.0) ML ADA- SAME DAY
IN SPECIAL TBFERON TUBES(3) TUBE) FROM FOR PCR , ADA TEST
SUNDAY TO DALIY : 1200 HRS
FRIDAY AND
TRANSPORTE
D WITHIN 16
HRS OF
COLLECTION
AT AMBIENT
TEMP

TBG (THYROXINE BINDING 2-8°C (48 hrs);


1512 9506 4750 CHEMILUMINESCENCE SERUM 2.0ML (1.0 ML) 2, 4: 0500, 1600 hrs SAME DAY
GLOBULIN) F (>48 hrs)
SPUTUM/ CSF/ BAL/ PLEURAL FLUIDS/
URINE/ CULTURE (SPECIMENS OF
TBRESIST (Note: This test is 2.0 ML, 2.0 ML, 2.0
1513 2430 4300 PCR - SEQUENCING PATIENTS WITH AFB SMEAR LESS THAN 1+ A 1:0930 HRS 5: 18:30 HRS
not applicable for MOTT) ML, 2.0 ML, 1
ARE NOT ACCEPTABLE) + CLINICAL
HISTORY
BONE MARROW / EDTA WHOLE BLOOD / 5 ML (3 ML), 3. 5
T-CELL GENE POLYMERASE CHAIN REACTION/
1514 9909 16000 CLINICAL HISTORY TISSUE EMBEDDED IN ML (3 ML), 0.5 CM A/A/ A 1: 0930 HRS 8 DAYS
REARRANGEMENT FRAGMENT ANALYSIS
PRAFFIN BLOCK OR IN NORMAL SALINE X 0.5 CM X 0.5 CM
TEL-PDGR BETA T(5;12) EDTA WHOLE BLOOD / BONE MARROW-
1515 RD1472 5800 Nested RT-PCR 2.0 ML / 2.0 ML A 3, 10:30 AM 9 DAYS
TRANSLOCATION EDTA
TERMINAL 3.0 ML (1.0 ML) + 1-
WB-EDTA + HEPARIN + SMEAR + CLINICAL
1516 1635B DEOXYNUCLEOTIDYL 3500 FLOW CYTOMETRY 2 REPRESENTATIVE A DAILY: 1530 HRS NEXT DAY BY 6.00PM
HISTORY
TRANSFERASE (TDT) SLIDES

TERMINAL 3.0 ML (1.0 ML) + 1-


BONE MARROW-HEPARIN + SMEAR / EDTA
1517 1635M DEOXYNUCLEOTIDYL 3500 FLOW CYTOMETRY 2 REPRESENTATIVE A DAILY: 1530 HRS NEXT DAY BY 6.00PM
+ HISTORY
TRANSFERASE (TDT) SLIDES
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
TISSUE IN 10%FORMALIN / PARAFIN
TERMINAL BLOCK + SITE OF BIOPSY AND CLINICAL
1518 Z216K DEOXYNUCLEOTIDYL 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
TRANSFERASE (TDT) IT WILL BE CHARGED FOR TISSUE
PROCESSING
2-8°C (72 DAILY (MON TO
TESTICULAR CANCER SERUM (AGE + CLINICAL HISTORY
1519 3028 1600 CHEMILUMINESCENCE 2.0 ML (1.0 ML) HRS); F (> 72 SAT): SAME DAY
MONITOR (AFP & HCG) REQUIRED)
HRS) 0500,1430,1600 hrs
SERUM (AGE + GENDER TO BE 2-8°C (24
DAILY (MON TO
1520 3248FT TESTOSTERONE, FREE 1700 RADIO IMMUNOASSAY MENTIONED)-SAMPLE TO BE DRAWN IN 1.0 ML (0.5 ML) HRS); F ( >24 SAME DAY
SAT): 1230 hrs
THE MORNING HRS HRS)
SERUM (Age + Gender to be mentioned)- 2-8°C (24
CHEMILUMINESCENCE / DAILY (MON TO
1521 3248 TESTOSTERONE, FREE/TOTAL 2450 SAMPLE TO BE DRAWN IN THE MORNING 2.0 ML (1.0 ML) HRS); F ( >24 SAME DAY
RADIOIMMUNOASSAY SAT): 1230 hrs
hrs HRS)
1522 3244 TESTOSTERONE, TOTAL 800 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
2-8°C (2 days);
Enzyme Linked Immnunosorbent
1523 9963 TETANUS IgG Antibodies 6750 SERUM 2.0ML(1.0ML) -20°C (>2 5: 1100 HRS SAME DAY: 19:00 HRS
assay
days)
EDTA WB :
WB-EDTA + SERUM+ PERIPHERAL SMEARS DAILY: 1830 HRS
3.0 ML (2.0 ML) + 3.0 Ambient
THALASSEMIA PROFILE (CBC, AUTOMATED CELL COUNTER / (AGE, CLINICAL HISTORY AND (IRON & TIBC), FOR SAME DAY (NEXT DAY for
1524 4970B 1700 ML (2.0 ML) + 3 (2) / SERUM 2-
Iron, TIBC, HB variant analysis) HPLC / SPECTROPHOTOMETRY CBC(FINDINGS MANDOTARY) IN SPECIFIED CBC 17:30; FOR HB HB variant)
SMEARS 8°C (7 DAYS),
FORMAT VARIANT 1500 HRS
F (2 MONTHS)

THALASSEMIA; ALPHA AMNIOTIC FLUID / CVS IN STERILE SALINE / 20.0 ML (10.0 ML) / ONLY
THALASSEMIA MUTATION MULTIPLEX DNA POLYMERASE FETAL BLOOD EDTA & EDTA WHOLE 10 MG (5-7 MG) / AMNIOTIC
1525 2480 8900 3:0930 HRS 8 DAYS
DETECTION (α3.7, α4.2, αFIL, CHAIN REACTION BLOOD FOR BOTH PARENTS + CLINICAL 5.0 ML (3.0 ML) / 5.0 FLUID/ CVS AT
αSEA, αTHAI ) PNDT HISTORY ML (3.0 ML) 2-8 °C; REST A
MONDAY09:00HRS
Spot Urine In Acid FROZEN(STABI
1526 4107 THALLIUM ICPMS URINE SPOT 5000 ICPMS 20.0ML(10.0ML) TO SATURDAY 15 DAYS
Wash Container LITY: 7 DAYS)
09:00HRS
1] Require SERUM sample.Mention time of
drug dose.
REFRIGERATE
1527 1563I THEOPHYLLINE, SERUM 1000 PETINIA 2] Require Doctors Name and Contact 2.0 ML Friday 10:00 HRS NEXT DAY 18:00HRS
D
details + Clinical history of the patient is
mandatory.
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
PLASMA* - AT MINUS 20° C+ CLINICAL TWO ALIQOUTS OF
1528 4210 THROMBIN TIME 1200 CLOT BASED AT -20°C & DAILY:1630 HRS SAME DAY
HISTORY(DOUBLE CENTRIFUGED 1.5 ML EACH
TRANSPORTE
PLASMA)*
D IN DRY ICE)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
FOR LUPUS
ANTICOAGULANT,
CLOT BASED / 2.0 ML-Serum & FOR LUPUS
FASTING SERUM AND CITRATED PLATELET FACTOR VIII,
CHEMILUMINESCENCE/CHROM EDTA WB each AND ANTICOAGULANT, FACTOR
POOR PLASMA* 3 VIALS- AT MINUS 20° PROTEIN C AND
1529 1751 Thrombocheck Total 21500 OGENIC ASSAY/ENZYME Three ALIQOUTS OF Frozen VIII, PROTEIN C AND
C(DOUBLE CENTRIFUGED PLASMA)* + ANTITHROMBIN III -
IMMUNOASSAY/PCR 2 ML EACH-Citrated ANTITHROMBIN III -
CLINICAL HISTORY, EDTA Whole Blood MONDAY, 10.00
SEQUENCING Plasma WEDNESDAY
AM
TUESDAY, 1 PM

HOMOCYSTEI
THROMBOCHEK PANEL
FASTING SERUM /PLASMA (Centrfuge NE:2-8°C (48 HOMOCYSTEINE;
(Protein C, Protein S, Lupus
samples and remove SERUM or plasma hrs); F (>48 DAILY (MON TO
Antigoagulent,
CLOT BASED / from red blood cells as soon as possible to hrs),A/R/F SAT): 0500, 1430,
Antiphospholipid Antibody, 2.0 ML AND TWO
CHEMILUMINESCENCE/CHROM ensure accurate measurement.) AND AND F (TO BE 1600 HRS, WED &
1530 1253 Serum Homocystein, Anti 17500 ALIQOUTS OF 1.5 ML SAME DAY
OGENIC ASSAY/ENZYME CITRATED PLATELET POOR PLASMA* 2 F SAT:11:00 HRS;
Thrombin III Activity) [To be EACH
IMMUNOASSAY VIALS- AT MINUS 20° C(DOUBLE IMMEDIATELY DAILY FOR
ordered with Factor V leiden
CENTRIFUGED PLASMA)* + CLINICAL AT -20°C & Antiphospholipid
(# 9894)] which will be
HISTORY TRANSPORTE Antibody
charged separately
D IN DRY ICE)

TWO ALIQUOTS OF 1, 3, 5: 1000 HRS


F (F
CLOT BASED & ENZYME PLATELet Poor Citrated plasma + 1.5 ML EACH (1.0 FOR LUPUS &
immediately LUPUS NEXT DAY & SAME
1531 4804 THROMBOTIC RISK PANEL 15500 IMMUNOASSAY AND PCR SERUM/EDTA PLASMA AND EDTA WHOLE ML) + 2.0 ML ANTIPHOSPHOLIPID
at -20°c) / A DAY AND 1:3:1800 HRS
SEQUENCING BLOOD SERUM (1.0 ML)+ 3.0 DAILY: 1100 HRS
OR R
ML AND 3:6:1030 HRS
DAILY (MON TO
THYPROBE (TSH3G - UL, aTG, SERUM ( Age + Gender + Clinical History 2-8°C (48 hrs);
1532 DT8100 2800 CHEMILUMINESCENCE 3.0 (2.0) mL SAT): 0500, 1900 AFTER 3.0 hrs
aTPO, FT4) Required ) Mandatory F (>48 hrs)
hrs
2-8°C (72 hrs); 2,4:
1533 3251 THYROGLOBULIN 1500 CHEMILUMINESCENCE SERUM (CLINICAL HISTORY REQUIRED) 1.0 ML (0.5 ML) SAME DAY
F (2 Months) 0500,1430,1600 hrs

THYROID ANTIBODIES (ANTI-


THYROID PREOXIDASE abs. 2-8°C (48 DAILY (MON TO
1534 1016 (also known as Anti 2000 CHEMILUMINESCENCE SERUM 1.0 ML (0.5 ML) HRS); F ( >48 SAT): 0500 hrs to AFTER 3.0 hrs
Microsomal abs.) AND ANTI- HRS) 1900 hrs
THYROGLOBULIN ABS)
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
1535 Z231 THYROID LESIONS 6000 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
THYROID PANEL II (FT3, FT4,
1536 1499 725 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
TSH3G - UL)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
DAILY (MON TO
THYROID SCREENING PANEL SERUM ( Age + Gender + Clinical History 2-8°C (48 hrs);
1537 TSP 1650 CHEMILUMINESCENCE 3.0 ML (2.0 ML) SAT): 0500, 1900 AFTER 3.0 hrs
(FT4, TSH3G - UL & aTPO) Required ) Mandatory F (>48 hrs)
hrs
DAILY (MON TO
THYROID STIMULATING 2-8°C (48 hrs);
1538 TSHR 250 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 1.0 ML (0.5 ML) SAT): 0500, 1900 AFTER 3.0 hrs
HORMONE F (>48 hrs)
hrs
THYROID STIMULATING
1539 3250C 300 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
HORMONE (TSH)
THYROID STIMULATING
1540 3250 HORMONE, 3rd GENERATION 250 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
ULTRA (TSH3G - UL)
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK + SITE OF BIOPSY AND CLINICAL
THYROID TRANSCRIPTION
1541 Z065K 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
FACTOR- 1
IT WILL BE CHARGED FOR TISSUE
PROCESSING
TISSUE IN 10%FORMALIN / PARAFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1542 Z238 THYROID PANEL 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 4 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
THYROSCREEN (FT4 & TSH3G -
1543 5009 650 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
UL)
1544 3226C THYROXINE T4 280 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
SODIUM HEPARIN WB OF DONOR &
SERUM OF PATIENT.(SAMPLE IS TO BE 20 ML SODIUM
COLLECTED AT LEAST AFTER 3 DAYS OF HEPARIN WB OF
LAST DIALYSIS. CROSS MATCH SAMPLE IS DONOR & 3 ML
TO BE COLLECTED AFTER THREE WEEKS OF SERUM OF PATIENT.
LAST BLOOD TRANSFUSION. MANDATORY ADDITIONAL
1545 1351G TISSUE CROSSMATCHING 3400 SEROLOGY DOCUMENTS TO BE ENCLOSED WITH THE DONOR/S, IF ANY, COLD PACK Mon-Fri 11a.m. Next day
SAMPLE ARE:- COMPLETELY FILLED IN HLA SET OF MANDATORY
TRF, ADDITIONAL TRF, PHOTO I.D.PROOFS DOCUMENTS FOR
OF PATIENT & DONOR ,DOCTOR'S EACH TO BE
PRESCRIPTION.) APPLICABLE FOR SOLID ENCLOSED WITH THE
ORGAN TRANSPLANT ONLY (LIVER & SAMPLE.
KIDNEY)
TISSUE FIXED IN 10%FORMALIN+ SITE OF
4TH DAY (10-14 DAYS FOR
1546 TISSUE TISSUE FOR PROCESSING 350 HISTOPATHOLOGY BIOPSY + CLINICAL DETAILS (FOR BONE 1 CM A DAILY:1000 HRS
BONE SPECIMENS)
SPECIMENS ALSO SEND X-RAY)
2-8°C (48
TISSUE TRANSGLUTAMINASE Enzyme Linked Immnunosorbent
1547 9362 1700 SERUM 2.0 ML (1.0 ML) hrs.); -20°C 2;4;6:1100 HRS SAME DAY 1900 HRS
IgA, TTG assay
(>48 hrs.)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (4 SAME DAY(AVIDITY WILL
TORCH IgG & IgM ANTIBODIES Enzyme Linked Immnunosorbent
1548 9901 3150 SERUM 4.0 ML (2.0 ML) DAYS); -20°C DAILY: 0300 am BE REPORTED IF IgG AND
EVALUATION (10 Parameters) assay
(>4 DAYS) IgM BOTH ARE POSITIVE)

2-8°C (4 SAME DAY(AVIDITY WILL


TORCH IgG & IgM ANTIBODIES Enzyme Linked Immnunosorbent
1549 9901M 2850 SERUM 4.0 ML (2.0 ML) DAYS); -20°C DAILY: 0300 am BE REPORTED IF IgG AND
EVALUATION (9 Parameters) assay
(>4 DAYS) IgM BOTH ARE POSITIVE)
2-8°C (4
Enzyme Linked Immnunosorbent
1550 9911M TORCH IgG ANTIBODIES 1600 SERUM 2.0 ML (1.0 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
assay
(>4 DAYS)
2-8°C (4
TORCH IgM ANTIBODIES (4 Enzyme Linked Immnunosorbent
1551 2231M 1500 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
Parameters) assay
(>4 DAYS)
EDTA PLASMA, CSF, AMNIOTIC FLUID, 2ML (1.0ML), 2ML
TORCH PCR (Toxoplasma PCR,
SERUM, NASOPHARYNGEAL SWAB; IF (1.0ML), 2ML
1552 2232 Rubella PCR, Cytomegalovirus 5000 POLYMERASE CHAIN REACTION F 1,4 :9:00 HRS 2,5 : 19:00 HRS
SERUM SENT,EDTA PLASMA IS (1.0ML), 2ML
PCR, Herpes Simple Virus PCR)
MANDATORY (1.0ML),1ML(1.0ML)
2-8°C (4
TORCH IgM ANTIBODIES (5 Enzyme Linked Immnunosorbent
1553 9912 1600 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
Parameters) assay
(>4 DAYS)
2-8°C ( 7
DAYS); F ( >7
1554 5201 TOTAL BILE ACIDS 2100 SPECTROPHOTOMETRY SERUM 12-14 HRS FASTING 1.0 ML (0.8 ML) 3 :12.00 hrs SAME DAY
DAYS - 3
MONTHS)
DAILY (MON TO
SERUM + CLINICAL HISTORY (Age is 2-8°C (48 hrs);
1555 1245E TOTAL IGE 1000 EIA 1.0 ML (0.5 ML) SAT): SAME DAY
Mandatory for reporting) F (>48 hrs)
0500,1430,1600 hrs
TOTAL IRON BINDING
1556 3533HD 430 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
CAPACITY, SERUM
1557 1324C TOTAL PROTEIN, CSF 270 SPECTROPHOTOMETRY CSF 2 ML (1 ML) S. CONTAINER DAILY SAME DAY
1558 1324H TOTAL PROTEIN, SERUM 170 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
TOTAL
1559 1324A PROTEIN,ALBUMIN,GLOBULIN 270 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
, SERUM
EDTA WHOLE BLOOD, CSF, AMNIOTIC
1560 7522 Toxoplasma gondii PCR 3000 NESTED PCR 2ML (1ML) A 1,4 :9:00 HRS 2,5 : 19:00 HRS
FLUID, SERUM + CLINICAL HISTORY
2-8°C (4 SAME DAY(AVIDITY WILL
TOXOPLASMA IgG & IgM Enzyme Linked Immnunosorbent
1561 2261M 1450 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am BE REPORTED IF IgG AND
ANTIBODIES assay
(>4 DAYS) IgM BOTH ARE POSITIVE)
2-8°C (4
TOXOPLASMA IgG Enzyme Linked Immnunosorbent
1562 9426M 700 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
ANTIBODIES assay
(>4 DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (4
Enzyme Linked Immnunosorbent
1563 9433 TOXOPLASMA IGG AVIDITY 1700 SERUM 1.0 ML(0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY :1230 HRS
assay
(>4 DAYS)
2-8°C (4
TOXOPLASMA IgM Enzyme Linked Immnunosorbent
1564 7661M 700 SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 0300 am SAME DAY
ANTIBODIES assay
(>4 DAYS)
2ML (1.0ML), 2ML
TOXORubella PCR
EDTA PLASMA, CSF, AMNIOTIC FLUID, (1.0ML), 2ML
1565 2233 (Toxoplasma PCR, Rubella 4500 POLYMERASE CHAIN REACTION F 1,4 :9:00 HRS 2,5 : 19.00 HRS
SERUM, NASOPHARYNGEAL SWAB (1.0ML), 2ML
PCR)
(1.0ML),1ML(1.0ML)
TPC Plus (T3, T4, TSH 3G, DAILY (MON TO
Cholesterol total, CHEMILUMINESCENCE/ 2-8°C (48 hrs); SAT): 0500, 1900
1566 7568 549 SERUM 12-14 HRS FASTING 5.0 ML (2.0 ML) SAME DAY
Triglycerides, Fasting Blood SPECTROPHOTOMETRY F (>48 hrs) hrs, BIOCHEM
Sugar) DAILY 18:30 HRS
1567 8030 TPMT GENOTYPING 5500 PCR SEQUENCING EDTA WHOLE BLOOD 3ML (2 ML) 2-8°C 1 : 930 HRS 9 DAYS
TPMT GENOTYPING+MTHFR
MONDAY:09:00
1568 9504 MUTATION DETECTION 13200 PCR SEQUENCING EDTA WHOLE BLOOD + CLINICAL HISTORY 10 ML A 9 DAYS
HRS
PANEL

2-8°C (7
DAYS); F (>7 -
10 -12 HRS FASTING SERUM + CLINICAL
90 DAYS, IF F
1569 1519HD TRANSFERRIN 1100 NEPHELOMETRY HISTORY + (AGE & GENDER IS 2.0 ML (1.0 ML) 1,3,5 : 1630 HRS SAME DAY
WITHIN 24
MANDATORY)
HRS. OF
COLLECTION)
TREPONEMA PALLIDIUM 2-8°C (7
1570 9020 HEMAGGLUTINATION ASSAY 800 PASSIVE HEMAGGLUTINATION SERUM 1.0 ML (0.5 ML) DAYS); -20°C DAILY: 1530 HRS SAME DAY
(TPHA) (>7 DAYS)
1571 3346HD TRIGLYCERIDES, SERUM 230 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
1572 3224C TRIIODOTHYRONINE T3 280 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
2-8°C (24 DAILY (MON TO
1573 3393 TROPONIN I 1800 CHEMILUMINESCENCE SERUM ( Age+Gender mandatory) 2.0 ML (1.0 ML) HRS); F (1 SAT): SAME DAY
Month) 0500,1430,1600 hrs

SERUM [Samples should not be taken from


patients receiving therapy
2-8°C (24
with high biotin doses (i.e. > 5 mg/day) DAILY (MON TO
1574 3395A TROPONIN T 1800 ELECTROCHEMILUMINESCENCE 2.0 ML (1.0 ML) HRS); F (3 SAME DAY
until at least 8 hours SAT):1600 hrs
MONTHS)
following the last biotin administration]
+ Clinical History
2-8°C (2
TRUE CARD PANEL (hSCRP , SPECTROPHOTOMETRY/ SERUM-12-14 HRS FASTING+(AGE &
1575 1209TCP 1200 2.0 ML (1.0 ML) DAYS); F (> 2 DAILY:1800 hrs SAME DAY
Lipid Profile) NEPHELOMETRY GENDER IS MANDATORY)
DAYS)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (2 DAYS)
Enzyme Linked Immnunosorbent 2nd and 4th Sat
1576 4115 Trypanosoma cruzi IgG 2250 SERUM 2.0 ML (1.0 ML) / >2 DAYS - Same day(1900 hrs)
assay :11.00 hrs
20°C
FROZEN: UP
1577 3254I TSH RECEPTOR ANTIBODIES 4100 RADIO IMMUNOASSAY SERUM 1.0 ML (0.5 ML) 6:1230 hrs SAME DAY
TO 2 WEEKS
AFTER
SEPARATION
TUMOR NECROSIS FACTOR - OF SERUM THURSDAY:1000
1578 5433 4600 ENZYME IMMUNOASSAY SERUM 1.0 ML(0.5 ML) SAME DAY 1900 HRS
ALPHA IMMEDIATELY AM
STORE AT -20
°C

WB-EDTA 3.0 (1.0)


AUTOMATED CELL COUNTER, ML, PERIPHERAL
AUTOMATED (PHOTOMETRICAL BLOOD SMEARS: 2
CAPILLARY STOPPED FLOW WB-EDTA, PERIPHERAL BLOOD SMEARS THICK / 2 THIN, DAILY:1000 HRS ALL TESTS SAME DAY
KINETIC ANALYSIS) / MANUAL CITERATE WHOLE BLOOD ( BLACK TOP),, BLACK TOP 2.0 ML, EDTA WB : AND FOR BIOCHEM EXCEPT STOOL CULTURE
TYPHI-D (CBC, ESR, Urinalysis,
(MODIFIED WESTERGREN) ESR TUBE (GREINER) BLACK TOP, SERUM, SERUM 2.0 (1.0) ML, Ambient 18:30HRS NO PRELIMINARY / FINAL
1579 DT3200 Widal, Culture Prlim & Final, 1200
DIPSTICK & MICROSCOPY, TUBE BLOOD CLOT [AFTER SEPARATING SERUM BLOOD CLOT [AFTER A/URINE 2- ;17:30HRS FOR CBC 3RD DAY : CLOT
C)
AGGLUTINATION, BACTERIAL FOR ABOVE], URINE, STOOL IN STERILE SEPARATING SERUM 8°C(24 HRS) & ESR; 15:30 FOR CULTURE : PRELIMINARY
CULTURE & BIOCHEMICAL LEAK PROOF CONTAINER FOR ABOVE] 3.0 (1.5) WIDAL 4TH DAY / FINAL 7TH DAY
IDENTIFICATION REACTIONS, ML, URINE 15.0
BACTERIAL SEROTYPING (10.0) ML, STOOL 1.0
GM / 1.0 ML

2-8°C (14
1580 1215 U1 snRNP ANTIBODIES 2000 IMMUNOBLOT SERUM 1.0 ML (0.5 ML) days); -20°C Tue/Thru :1000 HRS Same day:1900 hrs
(>14 days)
EDTA WHOLE BLOOD + CLINICAL HISTORY
1581 RD1479 UGTA1 GENE MUTATION 13000 PCR-SEQUENCING 5 ML (3 ML) A 2 : 0930 HRS 15 days
in specified format
UREA NITROGEN, 24HRS URINE
1582 1079UH 250 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
URINE CONTAINER
URINE
1583 1310UH URIC ACID, 24HRS URINE 300 SPECTROPHOTOMETRY 24HR URINE/RANDOM 2 ML (1 ML) DAILY SAME DAY
CONTAINER
1584 1310H URIC ACID, SERUM 220 SPECTROPHOTOMETRY SERUM 2 ML (1 ML) RED DAILY SAME DAY
DIPSTICK/MICROSCOPY / PLASTIC
1585 5200U URINALYSIS 150 REFLECTENCE URINE 15 ML DISPOSABLE DAILY SAME DAY
SPECTROPHOTOMETRY CONTAINER
URINARY
RANDOM URINE WITHOUT PRESERVATIVE 2nd & 4th Wed
1586 4333 GLYCOSAMINOGLYCAN (GAG) 1050 SPECTROPHOTOMETRY (DMB) 20.0ML(10.0ML) F 2nd DAY
+ CLINICAL HISTORY 11.00 HRS
QUANTITATION
URINE -24 HOURS COLLECTED IN 10 ML
CONC HCL & REFRIGERATE DURING
ENZYMATIC COLLECTION.( MENTION 24 HRS. TOTAL
1587 4332 URINARY OXALATE 1950 20 ML (15ML) F (7 DAYS) 3 & 6: 1100 hrs SAME DAY
SPECTROPHOTOMETRY URINE VOLUME ON TRF ALONG WITH
PATIENT AGE, GENDER AND CLINICAL
HISTORY DETAILS.)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED

20ML OF URINE ALIQUOT FROM THE


COLLECTED 24HRS URINE SPECIMEN TO BE
SHIPPED STRICTLY IN FROZEN CONDITION
(Do not consume bananas, pineapple,
chocolates, coffee, ice creams, high diet in
cereals and vanilla, potatoes and B-
Complex, Vitamins 48 hours prior to the
collection of the specimen. It is advisable
URINARY VMA (VANILYL to discontinue all medications, but that TUESDAY & FRIDAY:
1588 3318U 3500 SPECTROPHOTOMETRIC 20.0 ML (10.0 ML) F 4TH DAY
MANDELIC ACID) should be strictly on the advise of your 09:00 HRS
physician. The supplied container contains
a preservative ,15ML of 6N HCL. 24hrs
urine specimens received without the
preservative will be unacceptable. It is
mandatory to provide clinical
information(CT SCAN, MEDICATION AND
USG) and the volume on the requisition
form)

URINE ,24 HRS WITH APPROPRIATE


URINE SUPERSATURATION
PRESERVATIVE & REFRIGERATE DURING DAILY 1830 hrs ,
PANEL (CALCIUM, SPECTROPHOTOMETRY,
COLLECTION.( MENTION 24 HRS. URINE 20.0 ML(IN 2 VIALS FOR URINARY
1589 5002 MAGNESIUM,OXALATE,URIC 2200 ENZYMATIC F SAME DAY
VOLUME ON TRF WITH PATIENT AGE, SEPERATELY) OXALATE 3 &
ACID AND PHOSPHORUS, SPECTROPHOTOMETRY
GENDER, HEIGHT, WEIGHT & CLINICAL 6:1100 hrs
FROM 24hrs URINE )
DETAILS)

AUTOMATED CELL COUNTER,


EDTA WB 2.0ML +
AUTOMATED (PHOTOMETRICAL EDTA WB/CITRATE WB BLACK TOP FLUORIDE
UTI SCREENING PANEL CITRATE WB 3.0ML
CAPILLARY STOPPED FLOW /FASTING PLASMA FLOURIDE & URINE + 2- PLASMA : 2- DAILY: 18:30 HRS;
(CBC,ESR,GLUCOSE FASTING, +FASTING PLASMA
1590 5007 1000 KINETIC ANALYSIS) / MANUAL 3 SMEARS + (AGE & GENDER IS 8°C (3 DAYS); FOR CBC & ESR SAME DAY/3RD DAY
URINALYSIS,URINE 1.0 ML (0.5 ML) &
(MODIFIED WESTERGREN) MANDATORY)/URINE IN STERILE URINE : 2- DAILY : 17:30 HRS
CULTURE/SENSITIVITY) URINE15 ML (10
/SPECTROPHOTOMETRY/DIPSTI CONTAINER 8°C(24 HRS)
ML)/ 3.0 ML
CK& MICROSCOPY/CULTURE

DAILY: 0730 HRS &


1530 HRS FOR
VACCICHEQ (HBsAb, VZV IgG, Chemiluminescent Microparticle HBsAb,5: 1100 HRS
1591 DT3203 MUMPS IgG, MEASLES 6250 Immunoassay (CMIA)/ENZYME SERUM 3.0 ML (2.0 ML) R/F FOR MUMPS IgG & SAME DAY
IgG,Rubella IgG) IMMUNOASSAY MEASLES IgG , 3-
1100 HRS FOR VZV
IgG
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
SERUM (JUST BEFORE THE NEXT DOSE;
2-8°C (48 DAILY (MON TO
USUALLY EARLY IN THE MORNING;TO
1592 3360H VALPROIC ACID 1000 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F ( >48 SAT): SAME DAY
CONFIRM THAT AN ADEQUATE DOSE IS
HRS) 0500,1430,1600 hrs
PRESCRIBED BEFORE BEDTIME)
SERUM [IT IS MANDATORY TO MENTION
2-8°C (48 DAILY (MON TO
ON THE TRF WHETHER IT IS A TROUGH
1593 4197 VANCOMYCIN 6100 CHEMILUMINESCENCE 1.0 ML (0.5 ML) HRS); F (> 48 SAT): SAME DAY
LEVEL (PRE-DOSE) OR PEAK LEVEL (POST-
HRS) 0500,1430,1600 hrs
DOSE) SAMPLE].
VARICELLA (HERPES) ZOSTER 3.0(1.0ml) Serum Monday &
1594 8125 6000 E/A/Biochemical Serum & CSF FROZEN 4 days
IGG ANTIBODIES, CSF and CSF Thursday 09:00HRS
2-8°C (3 days);
VDRL REFLEX TPHA FLOCCULATION & PASSIVE
1595 9220RFX 550 SERUM 2.0 ML -20°C (>3 DAILY: 1530 HRS SAME DAY
CONFIRMATION HEMAGGLUTINATION
days)
1596 2366 VDRL, SERUM 250 FLOCCULATION REACTION SERUM 1 ML RED DAILY SAME DAY
TISSUE IN 10%FORMALIN / PARAFFIN
BLOCK+ SITE OF BIOPSY AND CLINICAL
1597 Z047K VIMENTIN 2700 IMMUNOHISTOCHEMISTRY DETAILS MANDATORY.IF TISSUE RECEIVED 1 CM / 1 BLOCK A DAILY:0800 HRS 3 WORKING DAYS
IT WILL BE CHARGED FOR TISSUE
PROCESSING
VIRAL PNEUMONIA PANEL I
(Influenza A RNA, Influenza B MULTIPLEX POLYMERASE CHAIN SWAB (THROAT SWAB, NASOPHARYNGEAL
1598 9887 5500 2.0 ML + 2.0 ML + 1 F 1,3,5:1000 HRS NEXT DAY: 1800 HRS
RNA, Para Influenza, RSV, REACTION SWAB, RESPIRATORY SECRETIONS, BAL)
Enterovirus RNA)
VIRAL PNEUMONIA PANEL II
SWAB (THROAT SWAB,
(Adenovirus DNA,
1599 9888 5500 POLYMERASE CHAIN REACTION NASOPHARYNGEAL SWAB, RESPIRATORY 2.0 ML + 2.0 ML + 1 F 2, 4, 6 :1000 HRS 4, 6, 2 :1800 HRS
Cytomegalovirus DNA, HSV 1
SECRETIONS, BAL)
& 2)
1600 9116 VIRAL SCREEN 1250 CMIA/FLOCCULATION SERUM SERUM 2ML,SMEARS RED DAILY SAME DAY

1] Require 12-14 hrs fasting SERUM


sample (to be collected in plain tube not in
gel tube) or Plasma EDTA.
2] It should be light protected (wrap in
F [Serum 43
aluminum foil) and to be stored to freeze
VITAMIN A, SERUM/EDTA days,EDTA
1601 3511 4000 HPLC immediately. 2.0 ML (1.0 ML) 3:1000 HRS NEXT DAY:18:00HRS
PLASMA Plasmsa 8
3] Doctors Name and Contact details +
days at -18ºC ]
Clinical history of the patient is mandatory.
4] Patients must have no alcohol and must
be without Vitamin A supplement for 24
hrs.
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
1] Require 12-14 hrs fasting SERUM
sample (to be collected in plain tube not in
gel tube) or Plasma EDTA.
2] Specimen should be light protected
(wrap tube in aluminum foil) and should
VITAMIN B1, SERUM/EDTA
1602 3512 3500 HPLC be stored to freeze immediately. 2.0 ML (1.0 ML) F 1:1000 HRS 3RD DAY 18:00HRS
PLASMA
3] Doctors Name and Contact details+
Clinical history of the patient is
mandatory.4] Patients must have no
alcohol and must be without Vitamin B1
supplement for 24 hrs.
1603 3020 VITAMIN B12 1150 CHEMILUMINESCENCE SERUM 1 ML GEL / RED DAILY SAME DAY
1] Require 12-14 hrs fasting SERUM
sample (to be collected in plain tube not in
gel tube) or Plasma EDTA.
2] Specimen should be light protected
(wrap tube in aluminum foil) and should
VITAMIN B2, SERUM/EDTA
1604 3513 2800 HPLC be stored to freeze immediately. 2.0 ML (1.0 ML) F 1:1000 HRS 3RD DAY 18:00HRS
PLASMA
3] Doctors Name and Contact details+
Clinical history of the patient is mandatory.
4] Patients must have no alcohol and must
be without Vitamin B2 supplement for 24
hrs.

1] Require 12-14 hrs fasting SERUM


sample (to be collected in plain tube not in
gel tube) or Plasma EDTA.
2] Specimen should be light protected
(wrap tube in aluminum foil) and should
VITAMIN B6, SERUM/EDTA
1605 3514 3500 HPLC be stored to freeze immediately. 2.0 ML (1.0 ML) F 1:1000 HRS 3RD DAY 18:00HRS
PLASMA
3] Doctors Name and Contact details+
Clinical history of the patient is
mandatory.4] Patients must have no
alcohol and must be without Vitamin B6
supplement for 24 hrs.
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
1] Require 12-14 hrs fasting Plasma EDTA
only.
2] Specimen should be light protected
(wrap in aluminum foil) and should BE
STORED TO FREEZE IMMEDIATELY.
1606 3516 VITAMIN C, EDTA Plasma 3000 HPLC 2.0 ML (1.0 ML) F 1:1000 HRS 3RD DAY 18:00HRS
3] Require Doctors Name and Contact
details+ Clinical history of the patient is
mandatory. 4] Patients must have no
alcohol and must be without Vitamin C
supplement for 24 hrs.
DAILY (MON TO
VITAMIN D PLUS (25 - OH VIT 2-8°C (48 hrs);
10-12 HRS FASTING SERUM AND EDTA 2.0 ML(1.0 ML) AND SAT): 0500, 1600
1607 9510 D,Calcium, PHOSPHORUS, 1800 Chemiluminescence/SPECTROPH F (>48 hrs) SAME DAY
PLASMA 2.0ML hrs, BIOCHEM
PTH INTACT) OTOMETRY AND FROZEN
DAILY 18:30 HRS
1] Require 12-14 hrs fasting sample, if
SERUM (to be collected in plain tube not in
gel tube) or Plasma EDTA.
2] It should be light protected (wrap in
[Serum and
aluminum foil) and should be stored to
VITAMIN E, SERUM/EDTA EDTA Plasmsa,
1608 3517 4000 HPLC freeze immediately. 2.0 ML (1.0 ML) 3:1000 HRS NEXT DAY 18:00HRS
PLASMA 15 days at -
3] Doctors Name and Contact details +
18ºC]
Clinical history of the patient is mandatory.
4] Patients must have no alcohol and must
be without Vitamin E supplement for 24
hrs.

1] Require 3.5mL of 12 hrs fasting SERUM


sample (to be collected in plain tube not in
gel tube) and should have refrained from
taking nutritional supplements for 24
2nd and 4th
hours prior to venipunture.
1609 7523 VITAMIN K1, SERUM 4000 HPLC 3.5 ml (2.5 mL) frozen Thursday : 10;00 2nd & 4th Friday ,7 PM
2] It should be light protected (wrap in
hrs
aluminum foil) and should be stored to
freeze immediately.
3] Doctors Name and Contact details +
Clinical history of the patient is mandatory.

DAILY (MON TO
VITAMINPLUS (25-OH VIT D 2-8°C (48 hrs);
1610 9509 1700 Chemiluminescence. SERUM 3.0ML SAT): 0500, 1600 SAME DAY
AND VIT B12) F (>48 hrs)
hrs
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
F (TO BE F
FASTING, CITRATED PLATELET POOR
IMMEDIATELY
VON WILLEBRAND FACTOR IMMUNOTURBIDIMETRY-STA PLASMA* - AT MINUS 20° C*(DOUBLE TWO ALIQOUTS OF 2ND/4TH TUE: 1200
1611 9050 10500 AT -20°C & SAME DAY
ANTIGEN, PLASMA COMPACT CENTRIFUGED PLASMA)* + CLINICAL 1.5 ML EACH HRS
TRANSPORTE
HISTORY
D IN DRY ICE)
20+/-5°C (8
VON WILLEBRAND FACTOR, 2nd and 4th
1612 9052 13000 ENZYME IMMUNOASSAY PLASMA (CITRATE) 1.0 ML (0.5 ML) HRS); -20°C NEXT DAY
PLASMA Tuesday :1030 HRS
(1MONTHS)
EDTA WHOLE BLOOD/CSF/VESICLE SWAB 5.0 ML (3.0 ML)/ 3.0
MONDAY 10:30
1613 8762 VZV PCR 3250 PCR IN STERILE SALINE/CSF/AMNIOTIC ML (1.5 ML)/3.0 ML A FRIDAY 1800HRS
HRS
FLUID/CVS (1.5 ML)
WARFARIN SENSITIVITY BY
1614 RD1302 13000 PCR-SEQUENCING EDTA WHOLE BLOOD 5.0 ML ( 3.0 ML) A/R 1:0930 HRS 6;1830 HRS
GENOTYPING
1615 1221W WATER TESTING 1700 MICROSCOPY STERILE WATER 150 ML R DAILY 3RD DAY
2-8°C
1616 9121 WEIL FELIX 1200 TUBE AGGLUTINATION SERUM 2.0 ML (2DAYS); - DAILY: 1330 HRS SAME DAY
20°C (>2DAYS)
2-8°C (14 1ST & 3RD
Enzyme Linked Immnunosorbent
1617 9960 WEST NILE VIRUS IGG 3500 SERUM 2.0 ML DAYS); -20°C SATURDAY: 1000 SAME DAY
assay
(>14 DAYS) HRS
2-8°C (14 1ST & 3RD
Enzyme Linked Immnunosorbent
1618 9959 WEST NILE VIRUS IGM 3500 SERUM 2.0 ML DAYS); -20°C SATURDAY: 1000 SAME DAY
assay
(>14 DAYS) HRS
WESTERN BLOT-HIV -1 2-8°C (7 DAYS)
SERUM / EDTA (PLASMA MAY BE
1619 3012 ANTIBODIES(Confirmation) 2850 IMMUNOBLOT 2.0 ML (1.0 ML) ,>7 DAYS - 1,3,5: 1000 HRS SAME DAY
ACCEPTABLE)
INDICATES- HIV -2 20°C
WHITE CELL COUNT AND
1620 5122 180 5 PART AUTO ANALYSER EDTA WHOLE BLOOD 3 ML EDTA DAILY SAME DAY
DIFFERENTIAL, EDTA
1621 9076 WIDAL TEST, SERUM 300 AGGLUTINATION TEST SERUM 1 ML RED DAILY SAME DAY
EDTA WHOLE BLOOD / EDTA BONE
1622 RD1407 WT1 MUTATION DETECTION 5800 PCR – Sequencing 5 ML (3ML) A 4; 0930 HRS 8 DAYS
MARROW + CLINICAL HISTORY
PUS, PLEURAL FLUID , ASITIC
FLUID/GASTRIC ASPIRATE, TISSUE, CSF,
PERITONEAL FLUID, PERICARDIAL FLUID, DAILY: 0930 HRS
XPERT MTB / RIF ( GENE REAL TIME PCR ON GENEXPERT
1623 RD1324EP 2200 SYNOVIAL/KNEE JOINT FLUID, ABSCESS 5.0 ML ( 2.0 ML) A/R (EXCEPT SUNDAY SAME DAY: 1900 HRS
EXPERT) - EXTRAPULMONARY PLATFORM
ASPIRATE AND HOLIDAYS)

Semi nested Real time PCR on


SAME DAY EVENING
GeneXpert platform /
/SMEAR - 48 HOURS WK 3
1624 9507 XPERT PLUS 2600 FLUORESCENT STAIN / ZIEHL SPUTUM / BAL / ENDOMETRIAL TISSUE 2.0 ML /2 A DAILY:09:30 HRS
& WK 6 (Or when culture
NEELSEN STAIN & MGIT 960+LJ
positive)
CULTURE
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
Semi nested Real time PCR on
SAME DAY EVENING
GeneXpert platform /
/SMEAR - 48 HOURS WK 3
1625 9507EP XPERT PLUS 2600 FLUORESCENT STAIN / ZIEHL SPUTUM / BAL / ENDOMETRIAL TISSUE 2.0 ML /2 A DAILY:09:30 HRS
& WK 6 (Or when culture
NEELSEN STAIN & MGIT 960+LJ
positive)
CULTURE
Y-CHROMOSOME EVERY TUESDAY:
1626 RD1440 8500 MULTIPLEX PCR EDTA WHOLE BLOOD 5.0 ML A 9TH DAY
MICRODELETION PCR 10:00 HRS
BY PRIOR
1627 5702 YERSINIA CULTURE 2000 CULTURE STOOL IN STERILE CONTAINER 1.0 GM (0.5 GM) R 7TH DAY, FINAL
APPOINTMENT,
2-8°C (2
YERSINIA ENTEROCOLITICA Enzyme Linked Immnunosorbent
1628 3329IG 3000 SERUM 0.500 ML (0.250 ML) DAYS); -20°C 2nd FRI: 1030 HRS SAME DAY
IgG assay
(>2 DAYS)
2-8°C (2
YERSINIA ENTEROCOLITICA Enzyme Linked Immnunosorbent
1629 3329IM 3000 SERUM 0.500 ML (0.250 ML) DAYS); -20°C 2nd FRI: 1030 HRS SAME DAY
IgM assay
(>2 DAYS)
EDTA WHOLE BLOOD / HEPARIN WHOLE
1630 4965 ZAP-70 7300 FLOW CYTOMETRY BLOOD + DIRECT SMEARS + CLINICAL 2.0ML/2.0ML + 2-3 A DAILY: 1430 HRS NEXT DAY BY 6.00PM
HISTORY
24 HR URINE IN METAL FREE JERRY CAN
AVAILABLE FROM SRL (NO PRESERVATIVE).
24 HRS VOLUME SHOULD BE
COMPULSARILY SPECIFIED . FIRST SHAKE
2-8°C (5
THE CAN AND TAKE THE 10-20 ML
1631 9145U24 ZINC, 24 HR URINE 2200 FAAS WITH D2 CORRECTION 10-20 ML (5 ML) DAYS); F ( >5 - “4”, 11:30 HRS NEXT DAY
ALIQUOT. IN METAL FREE SCINTILLATION
30 DAYS)
BOTTLE AVAILABLE FROM SRL (NO
PRESERVATIVE)THE MEASUREMENT OF
URINE VOLUME SHOULD BE DONE AFTER
ALIQUOTING.
COLLECT WHOLE BLOOD IN SPECIAL
GREINER VACCUTAINER WITH GEL AND
YELLOW RING IN THE CAP AVAILABLE 2-8°C (7
1632 9145 ZINC, SERUM 2200 FAAS WITH D2 CORRECTION FROM SRL CENTRIFUGE DO NOT 2.0 ML (1 ML) DAYS); F ( >7 - “4”, 11:30 HRS NEXT DAY
SEPERATE SERUM. SERUM MORNING 30 DAYS)
FASTING SPECIMEN SHOULD BE
COLLECTED.
SPOT URINE IN METAL FREE 2-8°C (5
1633 9145U ZINC, URINE SPOT 2200 FAAS WITH D2 CORRECTION SCINTILLATION BOTTLE AVAILABLE FROM 10-20 ML (5 ML) DAYS); F ( >5 - “4”, 11:30 HRS NEXT DAY
SRL (NO PRESERVATIVE) 30 DAYS)
RANDOM URINE + CLINICAL HISTORY +
1634 4522A α1- MICROGLOBULIN 5900 NEPHELOMETRY 3.0 ML (2.0 ML) 2-8°C (8 DAYS) MON : 1200 hrs 5 th DAY
(AGE & GENDER IS MANDATORY)
SRL Mumbai City Price List w.e.f March 15 -2018

S.NO TEST CODE TEST NAME MRP(₹) METHOD SPECIMEN SPECIMEN VOL. TEMP. FREQUENCY REPORTED
2-8°C (7
12 -14 HRS FASTING SERUM (LIPEMIC DAYS); F (>7 -
SAMPLE SHOULD BE AVOIDED)+ CLINICAL 90 DAYS, IF F
1635 4522B α2- MACROGLOBULIN 5900 NEPHELOMETRY 2.0 ML (1.5 ML) 3,6 : 1200 HRS NEXT DAY
HISTORY + (AGE & GENDER IS WITHIN 24
MANDATORY) HRS. OF
COLLECTION)

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